Share the Warmth 2012 Survey

Girl Scouts in Northeast Texas share a commitment to community service. With that in mind, we are "sharing the warmth" this winter by collecting blankets for the less fortunate. Thank you participating in Share the Warmth! For any questions about this service opportunity, please contact brush@gsnetx.org.

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1. Girl Scout Troop Number:

Girl Scout Troop Number:

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2. Girl Scout Service Unit Number:

Girl Scout Service Unit Number:

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3. Please fill out the following information:

Please fill out the following information: Troop Leader Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

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4. Total Number of Girls Participating:

Total Number of Girls Participating:

5. Total Number of Blankets:

Total Number of Blankets:

6. Total Number of Comforters, Sheets, Towels, or Pillows:

Total Number of Comforters, Sheets, Towels, or Pillows:

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7. Total Number of Items Donated:

Total Number of Items Donated:

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8. Where will you pick up your patches? (For addresses to any of these locations, go to http://www.gsnetx.org/Default.aspx?tabid=70)

***Patches will be available at the following GSNETX stores during normal business hours throughout the month of January. Please note that patches are being funded by Sleep Experts and will be available on a first come, first served basis.

Where will you pick up your patches? (For addresses to any of these locations, go to http://www.gsnetx.org/Default.aspx?tabid=70) ***Patches will be available at the following GSNETX stores during normal business hours throughout the month of January. Please note that patches are being funded by Sleep Experts and will be available on a first come, first served basis.

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Share the Warmth 2012
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