2007 YOUTH CHARTER OR RE CHARTER APPLICATION

CONTACT INFORMATION FORM

Youth Council Number ______________   District  _________________________

 Name of Youth Council ________________________________________________

 Name of Sponsoring Adult Council & Number  ______________________________

Complete all the required information for the principal point of contact.  All correspondence will be sent to this address.  Address is usually the president or sponsoring adult.

Name_____________________________________  

 Council Office (President, VP, etc.)_______________

 Home Phone________________________________

 Work Phone________________________________

 Address___________________________________  

 City_____________________   State______   Zip                                    

 Fax*____________________________   Email______________________________

 *This is must be a dedicated fax line.