EmailMeForm
2019 CAMP CARD PRIZE CLAIM FORM
Scouts may receive a $25.00 gift card for every 50 Camp Cards they sold. Gift cards can be selected for the Mechanicsburg or York Scout Shops, Hidden Valley Scout Reservation Trading Post or Camp Tuckahoe Trading Post. Gift cards must be redeemed by December 31, 2019. The Unit Camp Card Chair or unit representative must enter and submit their qualifying Scout's information below. Deadline to submit prize form is May 28, 2019.
Your Name
*
First
Last
Are you the Unit Camp Card Chair?
*
Please select
Yes
No
If you selected "No" please list your Scouting position within your unit.
Please select how you would like this Scout's prize(s) distributed:
*
Please select
Please mail to me
I will pick up at the Mechanicsburg Service Center
I will pick up at the York Service Center
Please mail to the Scouts
Your Unit Type
*
Please select
Pack
Troop
Crew
Ship
Your Unit Number
*
Your District
*
Please select
Battlefield
Conococheague
Heritage Trails
Keystone Capital
Pioneer
Not sure
Your Phone Number
*
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###

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Your Email
*
Your Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Please indicate the number of youth you will be submitting prize orders for (if you have more than 15, please submit the additional by completing a second form)
Please select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Scout #1 Name
*
First
Last
Scout #1 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #1
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #1
Number of Camp Tuckahoe trading post gift cards requested  Scout #1
Number of Scout Shop gift cards requested  Scout #1
Scout #2 Name
*
First
Last
Scout #2 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #2
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #2
Number of Camp Tuckahoe trading post gift cards requested  Scout #2
Number of Scout Shop gift cards requested  Scout #2
Scout #3 Name
*
First
Last
Scout #3 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #3
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #3
Number of Camp Tuckahoe trading post gift cards requested  Scout #3
Number of Scout Shop gift cards requested  Scout #3
Scout #4 Name
*
First
Last
Scout #4 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #4
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #4
Number of Camp Tuckahoe trading post gift cards requested  Scout #4
Number of Scout Shop gift cards requested  Scout #4
Scout #5 Name
*
First
Last
Scout #5 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #5
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #5
Number of Camp Tuckahoe trading post gift cards requested  Scout #5
Number of Scout Shop gift cards requested  Scout #5
Scout #6 Name
*
First
Last
Scout #6 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #6
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #6
Number of Camp Tuckahoe trading post gift cards requested  Scout #6
Number of Scout Shop gift cards requested  Scout #6
Scout #7 Name
*
First
Last
Scout #7 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #7
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #7
Number of Camp Tuckahoe trading post gift cards requested  Scout #7
Number of Scout Shop gift cards requested  Scout #7
Scout #8 Name
*
First
Last
Scout #8 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #8
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #8
Number of Camp Tuckahoe trading post gift cards requested  Scout #8
Number of Scout Shop gift cards requested  Scout #8
Scout #9 Name
*
First
Last
Scout #9 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #9
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #9
Number of Camp Tuckahoe trading post gift cards requested  Scout #9
Number of Scout Shop gift cards requested  Scout #9
Scout #10 Name
*
First
Last
Scout #10 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #10
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #10
Number of Camp Tuckahoe trading post gift cards requested  Scout #10
Number of Scout Shop gift cards requested  Scout #10
Scout #11 Name
*
First
Last
Scout #11 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #11
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #11
Number of Camp Tuckahoe trading post gift cards requested  Scout #11
Number of Scout Shop gift cards requested  Scout #11
Scout #12 Name
*
First
Last
Scout #12 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #12
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #12
Number of Camp Tuckahoe trading post gift cards requested  Scout #12
Number of Scout Shop gift cards requested  Scout #12
Scout #13 Name
*
First
Last
Scout #13 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #13
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #13
Number of Camp Tuckahoe trading post gift cards requested  Scout #13
Number of Scout Shop gift cards requested  Scout #13
Scout #14 Name
*
First
Last
Scout #14 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #14
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #14
Number of Camp Tuckahoe trading post gift cards requested  Scout #14
Number of Scout Shop gift cards requested  Scout #14
Scout #15 Name
*
First
Last
Scout #15 Address (required if prize is to be mailed to the Scout)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Number of Camp Cards sold by Scout #15
*
Scout will receive one prize for every 50 Camp Cards sold. The number of prizes claimed must equal the number entered above divided by 50. Example: A Scout sells 125 cards. 125/50 = 2.5. Scout is eligible to receive 2 prizes below.
Number of Hidden Valley Scout Reservation trading post gift cards requested  Scout #15
Number of Camp Tuckahoe trading post gift cards requested  Scout #15
Number of Scout Shop gift cards requested  Scout #15
I understand by submitting this prize claim that I am confirming on behalf of my unit that this Scout sold the quality of Camp Cards entered above.
*
Please select
Yes, I understand