Association of Baptists for Scouting

Membership Application

* required information
Application 
Membership Information
Is this a renewal?: Yes
No
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Business Phone:
Cell Phone:
Church Membership ( Name of Church, city, state):
Baptist Affiliation:
Local Council Name:
Number of Years in Scouting:
Volunteer Position(s) currently held:
Spouse Name for Joint Membership:
Corporate Name for Corporate Membership:
Comments:
Membership Levels
Individual Membership
.
$35.00
Joint Annual Membership
Husband and Wife
$50.00
Corporate Membership
Corporate, Business, Church
$100.00
Additional Information
Hold the Control key down to select multiple items.
Send me information about the following:


Before submitting any personal information, please read our Privacy Policy.