* 1. Troop number:

* 2. Association and Service Unit:

* 3. Your name and volunteer role:

4. Your email address: 

5. Mailing address where you'd like to receive your patches:

6. If you are not the Service Unit SHARE Leader, please list your Service Unit SHARE Leader's name here:

* 7. Do you certify that the troop number above earned the troop SHARE patch by having 2/3 of the troop families contribute and contributing an overall total that averages $10 per girl in the troop?

* 8. Number of girls in the troop:

* 9. Number of gifts given and credited to the troop (please refer to totals posted on web for confirmation http://www.gscnc.org/share_goals.html):

* 10. Total amount given and credited to the troop (please refer to totals posted on web for confirmation http://www.gscnc.org/share_goals.html):

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