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 our newest program Cub Scout Shooting Sports Weekend. Please Read and Supply All Information to Complete and Submit Your Online Registration.

Please Register us for the 2008 Cub Scout Shooting Sports Weekend, scheduled for March 14-16, 2008 at Camp Blue Heron.

Please Make Your Registration Choices:

Your Pack #    Please Select Your District: Select District Canoochee Liberty Tidelands

Your Name:

Address 1:

Address 2:

City: ,  Georgia    Zip:

Home Phone:      Other Phone:

Email Address:

PROGRAM REGISTRATION

The cost per person for the weekend will be $27.00.

Campsite: Choose Campsite 1-Apache 2-Blackfoot 3-Cherokee 4-Dekota 5-Shawnee 7-Deleware 8- Newly Refurbished 9-Seminole 10-Cheyenne

Number of Adult Campers:

Number of Youth Campers:

Number Attending: Please Select Campers and Cost 2 @ $27 each = $54.00 3 @ $27 each = $81.00 4 @ $27 each = $108.00

Tent Rental: 0 Tents 1 Tent - Sleeps 2 @ $15 2 Tents - Sleeps 4 @ $30

Payment Method: Credit Cards Only

Credit Card Type: Select Card Type Discover MasterCard Visa     

Card Numbers:           

Expiration Month: Select Month January February March April May June July August September October November December      Expiration Year: Select Year 2006 2007 2008 2009 2010 2011 2012 2013 2014

Name as it Appears on Card:

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