Join Scouting Alumni : Scouting Alumni : Cornhusker Council, BSA

I want to join the Council Alumni and authorize the payment for the current calendar year.

Full Name

First Name *

Last Name *

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Mailing Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone Number (Required)

Email Address (Required)

Date Became Eagle Scout

Date Earned Wood Badge

Date Went last worked/went to Camp Cornhusker

Start Date

–

End Date

Select a Payment Method

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Account Holder

First Name

Last Name

Account Type

Account Number (Required)

Routing Number (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged