Girl Scouts of River Bluffs Council

#4 Ginger Creek Parkway - Glen Carbon, IL 62034

(618) 692-0692 - (800) 345-6858 - Fax: (618) 692-0685

Bring a Friend!

Membership Incentive Program

Bring a Friend Membership Incentive Program Patch Order

Today’s Date______________________

Name Of Recruiter_________________________________Phone________________________________

Address__________________________________________City____________________Zip__________

E-Mail Address________________________________________________________________________

Troop#______________ Service Unit______________

NEW person(s) (never registered before) you recruited_________________________________________

______________________________________________________

To receive your patch, print this page, complete and return to:

June Herschbach, Receptionist - GSRBC - #4 Ginger Creek Parkway  - Glen Carbon, IL 62034

10/4/07