CONTRIBUTION FORM

Print out this form and mail it, along with your check, to the council address below:

Enclosed is my contribution of:  $ _____________________________

Greater Pittsburgh Council, BSA

1275 Bedford Avenue

Flag Plaza

Pittsburgh, PA  15219-3699

Your Name: ____________________________________________

Address: ___________________________________________________

City, State, Zip: ______________________________________________

E-Mail:

_________________________________________

Phone:

Area Code:  (_____)  _________________________

Please send acknowledgement to:

Name: _____________________________________________________

Address: ___________________________________________________

City, State, Zip: ______________________________________________

A copy of the official registration and financial information of the Greater Pittsburgh Council may be obtained from the PA Department of State by calling toll free within PA  1-800-732-0999.  Registration does not imply endorsement.