Redwood Empire Council Unit Popcorn Kernel Registration

Please fill out this form completely to register as your unit's popcorn chair for the 2006 Fall sale. All information provided here will remain strictly confidential and will be used for Popcorn purposes only. Please enter all information completely. In order for web orders to be placed, all information must be included in this form.

Districts: Coast Logger, Del Norte, Miwok, Pacific Rivers, Pomo or Yokayo
District:

Unit Type: Pack (Cub Scouts), Troop (Boy Scouts), Crew, Team (Explorers) or Other

Unit Type:

Unit Number:

Does your Unit want to recieve prizes from Trails End and lesser commission
or no prizes from trails end and a higher return on commissions?

Prizes or Commission Only?:            

Returning Kernel from A Previous Sale? (Yes or No):

Kernel First name:

Kernel Last name:

Kernel Address:

Kernel City:

Kernel State:

Kernel Zip:

Kernel Primary Phone:

Kernel Secondary Phone:

Kernel Fax Number:

Kernel E-Mail:

Back to the Redwood Empire Council Popcorn Page

Thank you for your participation! You will be contacted shortly by your District Popcorn Chair. Be sure to attend Popcorn University to get the latest information about your sales!

Note: If you experience any difficulties with this form, (or if you are not using a forms-capable browser) you may email your response to this form to: webmaster@recbsa.org.