Online Membership Renewal

Online Membership Renewal

Contact Information

Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone *

Email Address *

Membership Information

Membership Type *Individual Annual Membership - $35Individual Life Membership - $200Family Annual Membership - $50Family Life Membership - $250

Sustaining Member (an additional donation of $25 or more)

* Family Memberships include your spouse or partner and minor children (below age 18).

Membership Value

Family Membership Information

Name of Spouse or Partner

Number of Minor Children

First Child's Name

Date of Birth

Second Child's Name

Date of Birth

Third Child's Name

Date of Birth

Fourth Child's Name

Date of Birth

Fifth Child's Name

Date of Birth

Sixth Child's Name

Date of Birth

Additional Donations

Campership / General Fund

USD

College Assistance Fund

USD

Memorial / Tribute Amount

USD

Memorial / Tribute Description

Special Memorial Fund Donations (All memorial funds go to camperships, except where specifically noted.)

Up to 4 Special Fund Donations can be entered.

Special Fund #1click drop down arrow above to select

Special Fund Donation #1

USD

Special Fund #2click drop down arrow above to select

Special Fund Donation #2

USD

Special Fund #3click drop down arrow above to select

Special Fund Donation #3

USD

Special Fund #4click drop down arrow above to select

Special Fund Donation #4

USD

CAMPERSHIP FUND provides financial subsidies to Bronx Boy Scouts and Cub Scouts toward summer camp fees to attend Ten Mile River Scout Camp and Cub World at Camp Alpine. All donations go to this fund unless otherwise specified. All memorial funds are campership funds unless specifically noted in the name of the fund.

COLLEGE ASSISTANCE FUND provides merit-based grants of up to $1,250 per year for 4 years to select graduating Bronx Boy Scouts who have demonstrated outstanding service to scouting and their community. New recipients are chosen each year, depending on the available funds. Only donations specifically earmarked for College Assistance go into this fund.

Donation

Membership Amount

Additional Donations

Special Fund Donations

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Total Donation Amount

Processing Fee

Total amount to be paid

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