Please print out this form on your printer and mail it along with your payment
to the address below. Sorry, no e-mail orders.
_________ Official Tidewater Council Shoulder patch -- $5 each
(plus postage) New one just for 2008, 50th Anniversary of Pipsico
SOLD OUTOfficial Tidewater Council shoulder patch -- $5 each (plus postage)
New one just for 2007 100th Anniversary of World Scouting
SOLD OUT
_________ Pipsico Scout Reservation patch -- $5 each (plus postage)
_________ Camp Lions Dam patch (silver border) -- $100 each (plus postage)
_________ Camp Lions Dam patch (red border) -- $50 each (plus postage)
_________ Camp Lions Dam patch (gray border) -- $25 each (plus postage)
SOLD OUT Friends of Scouting "Trustworthy" patch Supplies limited! -- $75 each (plus postage)
SOLD OUT
_________ Friends of Scouting "Loyal" patch Supplies limited! -- $75 each (plus postage)
_________ Friends of Scouting "Helpful" patch -- $75 each (plus postage)
_________ Friends of Scouting "Helpful" patch (Gold Border Patch-only year two separate ones designed)-- $250 each (plus postage)
_________ Friends of Scouting "Friendly" patch -- $76 each (plus postage)
_________ Friends of Scouting "Courteous" patch -- $76 each (plus postage)
_________ Friends of Scouting "Kind" patch -- $79 each (plus postage)
_________ Friends of Scouting "Obedient" patch -- $139 each (plus postage)
_________ Friends of Scouting "Cheerful" patch -- $156 each (plus postage)
_________ Friends of Scouting "Thrifty" patch -- $156 each (plus postage)
_________ Friends of Scouting "Brave" patch -- $162 each (plus postage)
_________ Friends of Scouting "Clean" patch -- $162 each (plus postage)
_________ Friends of Scouting "Reverent" patch -- $152 each (plus postage)
_________ Full set of Friends of Scouting Patch -- $1,500 each (plus postage) 12
patches
_________ "Jamboree Patch with Dolphins and Jet plane" -- $
4 each (plus postage)
_________ "Jamboree Patch with Battleship Wisconsin"-- $4 each (plus postage)
_________ "Jamboree Patch with Old Sailing Ship and
Lighthouse Ship" -- $4 each (plus postage)
_________ "Jamboree Patch with Blue Marlin Fish and
Wright Brother's Airplane" -- $4 each (plus postage)
Total cost of merchandise: _______________________
Add postage costs: ______________________________
(Postage is $1.00 for 1-5 patches or $2.00 for 6-10 patches) These are
domestic rates only.
Total amount enclosed: __________________________
Ship to:___________________________________________________________________
Mailing address:____________________________________________________________
City, State:________________________________________________________________
Country:__________________________________________________________________
Postal Code:_______________________________________________________________
Phone Number(s)____________________________________________________________
E-Mail Address: ____________________________________________________________
Form of payment (in U.S. dollars only)
_____ Check or money order payable to Tidewater Council, BSA
_____ Mastercard (Use only if order is $25 or more)
_____ Visa (Use only if order is $25 or more)
Sorry, no other credit cards can be accepted.
If paying by credit card (Orders of $25 or more), the following
information is required:
Card number:______________________________________________________________
Expiration date:_____________________________________________________________
Name on card:_____________________________________________________________
Cardholder's signature:_______________________________________________________
Mail to: