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We'd like to know a little bit about you!

    1. How did you hear about our Web Site?
    (please check box):
    Listing on the Web
    Browsing the Web
    From a search page
    From a friend
    Other (please specify):

    2. Where do you live?

    3. What den are you interested in joining?

    5. What is your name?

    6. What is the name of your child?

    7. What is your telephone number?

    8. What is your E-mail address?

    9. Any additional comments?

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1998 Cub Scout Pack 165