Membership form

 

Venture Crew 63

COBRAS

Membership

REGISTRATION $45

DUE 12/07/11

Any questions feel free to contact Lasete Nunes @

(908) 688-8568

*Please submit your dues to me no later than the above date.

Parent name__________________________

Scout name___________________________

Please mail form and check made out to Troop 63 to:

Lasete Nunes

473 Whitewood Rd

Union, NJ 07083