Name_______________________________________________________________________
Address____________________________________________________________________
City______________________________________________State_______ Zip_________
Telephone No. _____________________ E-Mail Address_________________________
O.A. Commemorative Plaque** .......................______ @ $25 ea $_______
The History of Camp Ranachqua (1917-1937) Book....._______@ $12 ea $_______
A Guide to Memorabilia of the Ten Mile River Scout Camps
.................._______@ $23 ea $_______
Ritual for the First Degree of the Wimachtendienk***
.................._______@ $5 ea. $_______
Ritual for the Second Degree of the Wimachtendienk****
.................._______@ $5 ea. $_______
Ritual for the Third Degree (Vigil) of the Order of the Arrow*****
.................._______@ $5 ea. $_______
Ritual for the Installation of Officers W.W.W......_______@ $5 ea. $_______
The History of Camp Ranachqua video (1917-1937)...._______@ $12 ea $_______
A History of the Brooklyn Scout Camps video (1917-1937)
...................______@ $12 ea $_______
A History of Camp Man (1930-1938) video ............______@ $12 ea $_______
Sub Total......................................................... $_______
NYS Residents add 8.25% Sales Tax................................. $_______
Total............................................................. $_______
** Plaque info: [ ] Ordeal; [ ] Brotherhood [ ] Vigil
Induction Date:____________________________
Lenape Name (Vigil):________________________________________________________
RITUAL BOOKLETS PASSWORDS:
*** Enter Ordeal password here:___________________________________________
**** Enter Brotherhood password here:_____________________________________
***** Enter Vigil watchward here:_________________________________________
ORDER INFORMATION FOR CREDIT CARD ORDERS: Credit Card Company_________________________________________ Credit Card Number___________-___________-___________-____________ Expiration Date___________________________ I authorize Greater New York Councils, Boy Scouts of America to debit my credit card account in the amount indicated in "Total" above and credit the "Greater New York Councils, B.S.A.". Signature__________________________________________________________________ Note: All prices include postage and mailing cost. Make check or money order out to "Greater New York Councils, B.S.A." and write account #1-2306-701-00 in the memo part of the check. Print this form and mail to: David M. Malatzky, 2332 Holland Ave., Bronx, N.Y. 10467.
Questions? E-mail treasurer@tmrmuseum.org