Camp PatchCape Cod & Islands Council
Boy Scouts of America

Camp Greenough Alumni Association
Membership Application

Return completed application and payment to:
Alumni Association
Cape Cod & Islands Council, BSA
247 Willow Street
Yarmouthport, Ma 02675
Name: _____________________________________________
Mailing Address: _____________________________________________
Town: _____________________________________________
Zip Code: _____________
Day Phone: _______________________
Evening Phone: _______________________
Email: _____________________________________________
Membership Type:

_____ Member - Any person 18 years of age or older who is a former camper, staff member, or volunteer at Camp Greenough.

_____ Associate Member - Any person 18 years of age or older who, though not having past experience at the camp, wishes to be involved with its preservation and development.

Annual Dues: $25.00
Additional contribution dedicated toward camp improvement: $__________
Total: $____________

Payment Method:

___ Check enclosed - make checks payable to Cape Cod & Islands Council, BSA

___ Credit Card
___ Visa ___ MasterCard
Cardholders Name: _________________________
Account Number: __________________ Expiration Month: _____    
Expiration Year: _____
Questions or Comments:

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