BCSA MEMBERSHIP SPONSOR FORM

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Enter the applicant's and your information in fields below and select the "print" option on your browser.  If you choose to hand print, please make certain all information is legible.   Thank you.

APPLICANT INFORMATION:

Person Sponsoring:
City/State:
About the Applicant:		In order for the Board to consider this member's application, write a brief paragraph or two to tell us something about this applicant; such as why you think this person(s) would be an asset to the BCSA.
SPONSOR INFORMATION:
Your Name:
Address:
City/State/Zip:
Contact Info:		Best Telephone   -- E-Mail
I certify that I am a member in good standing of BCSA and I wish to sponsor the person listed above for BCSA membership.

Signed: ____________________________________________    Date: _____________

Mail to: BCSA Membership Chair - Kathy Sours - 3821 W Charter Oak Rd - Peoria, IL 61615

Form Updated 08.11.2009