ORDER FORM

The Choctaw Area Council, BSA commissioned 295 Council Shoulder Patches (CSP) to celebrate the 95^th Anniversary of the Boy Scouts of America.  The striking design shown above is fully embroidered in red, white and blue with a metallic silver border and lettering.  The 295 patches consist of 95 individually numbered patches (ghost numbered in the embroidery on the thumb) to be sold at $95.00 each and an additional 200 standard 95^th Anniversary CSP’s to be sold at $9.50 each.  All proceeds from the sale of these patches will be used in support of the council’s ScoutReach programs.  ScoutReach represents the Choctaw Area Council’s commitment to bring the values-based programs of Scouting to all young people regardless of their circumstances, neighborhood or ethnic background.

 Donor’s Name: ________________________________________________________________________ 

Mailing Address: ______________________________________________________________________ 

E-mail Address: _______________________________________________________________________

Phone Number: ________________________________________________________________________ 

Please be advised that 98% of the purchase price of the individually numbered 95^th Anniversary CSP, and 80% of the standard 95^th Anniversary CSP is a tax deductible contribution to the Choctaw Area Council, Boy Scouts of America, a non-profit, 501(c)(3) organization. 

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