Coastal Empire Council, Inc.

11900 Abercorn Street

Savannah, Georgia 31420

Phone: (912) 927-7272

Thank you for using our quick and easy online registration form for Cub Scout Leader Pow-Wow Training. Please Read and Supply All Information to Complete and Submit Your Form.

Pack #           Position:

Please Select Your District:

Your Name:

Address 1:

Address 2:

City: ,  Georgia    Zip:

Home Phone:      Other Phone:

Email Address:

Please Enroll Me In the 2008 Cub Scout Leader Pow-Wow Training scheduled for February 9, 2008.

Payment Method: Credit Cards Only

Credit Card Type:     

Card Numbers:           

Expiration Month:      Expiration Year:

Name as it Appears on Card:

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