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You are contacting: Chuck Molenda, Training Chair You and Your email Address (* Required so we can respond to your comments...your address will remain confidential) * Name: * email: Your Information (Optional, but it helps us with our "demographics", as well as to aid in contact...) Address: City: ZIP: Home Phone: If You're a Scout or Scouter... ...please tell us about your unit District: Chanonee Chippewa Exploring/Venturing Fox Valley Foxfire Indian Prairie Kishwaukee Maramech Hill Northern Trail Order of the Arrow Potawatomie Trails Shabbona Thunderbird Other (specify) If other, please specify council/district: Unit: Crew District Pack Post Ship Troop - Number: Position/Rank: Adult Youth (if youth, please list your age: ) Registered? Your Comments (Required)
You are contacting:
You and Your email Address (* Required so we can respond to your comments...your address will remain confidential)
* Name:
* email:
Your Information (Optional, but it helps us with our "demographics", as well as to aid in contact...)
City:
ZIP:
Home Phone:
If You're a Scout or Scouter... ...please tell us about your unit
If other, please specify council/district:
Your Comments (Required)
This page last updated on February 24, 2009 by DMC