$750 Seller Popcorn Celebration Registration/iPod Touch & Summer Experience Drawing & PowerSeller Club 2012

Complete the information below for each Scout who sold over $750 in popcorn so we can send them a personal invite to the Popcorn Celebration. This is also their entry from(s) into the drawing for the iPod Touches & Summer Camp Experiences.

* Scout First Name
* Scout Last Name
* Address
* City
* State
* ZIP Code
* Phone Number
Email Address
* What's the Total Retail This Scout Sold?
Example: Add up the total of all the Scout's order forms and place the answer in the box.
* Type of Unit
Pack
Troop
Crew
Post
Team
* Unit Number
* Town Where Unit is Located


If you have a question, comment, or suggestion, please e-mail: John Fortini

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