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                  <text>Lodge &amp; Council:

B

Ahoalan-Nachpikin Lodge, Chickasaw Council #558

H~dquarte~Ci~ /[SM~e~m~~ph~i~s.~T~N~~~~~:::~::::~~~T~j~~~~-S-&amp;-t-io_n_:~[.....s~-=6::~~~~~~"~~~~~~~~~~~J
IMPORTANT: Return three (3) completed copies of this application
with a council check for full payment of fees to: Order of the Arrow,
BSA; P.O. Box 152079; Irving, TX 75015-2079 on 3,r befor~
December 31, 2011. Orders for supplies, recognitions, and literature
will not be rocessed for a lodge whose charter has not been renewed.

Print Form

"

-

FOR NATIONAL OFFICE USE ONLy

Date Fee Received:

-------

Amount Received :

un~t~#~6~20~2~S--4-92-0~~~~
o~
Acc~

LODGE LEADERSHIP

C. 2011 LODGE FINANCES &amp; COUNCIL SUPPORT

LODGE CHIEF:
ANNUAL LODGE MEMBERSHIP DUES
(per Arrowman)

-mail Address:

s\ \ \ \I\~
s\ \zjs\o\~

FOS CONTRIBUTIONS

hone Number:
CAPITAL IMPROVEMENTS (Cash &amp; Estimated
Value of Materials)

s\ \ \~o\o\~
\ \ \s\s~\o\

MAN HOURS OF SERVICE

mail Address:
D. 2011 MEMBERSHIP SUMMARY
(As of the last day ofyour 2011 Lodge Dues Year)

hone Number:

1. END OF YEAR TOT AL MEMBERSHIP

reet Address:

ty, State &amp; ZIP:

l'\FF Aov1sER: /

:r.~, e,-r

).

a. Ordeal

131,111

b. Brotherhood

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It IC(l t I
lllC(l'I

c. Vigil

{J,..(f&gt;.u/o

ail Address:

)

d. TOTAL

2. LODGE CHARTER FEE
(Item 1d multiplied by $3.00)

ne Number:

s\

\2.\s\3\i\.00

3. TOTAL MEMBERSHIP INCLUDES:

l'f l, Ii.I
lllSl&amp;fl

a. Youth (Under 21)

NCIL APPROVAL
pplication is submitted by our lodge for the 2012 renewal of our lodge
r in the Order of the Arrow, Boy Scouts of America. We certify the
ation contained herein is true and accurate.

b Adults (Age 71 and over)

4. TOTAL 2011 INDUCTIONS

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I lsl'(I
Ir lol

a. Ordeal

b. Brotherhood
c.Vigil

LODGE ADVISER
ut executive, I attest to the fact that all of the members of this lodge are

tly registered members of the Boy Scouts of America and have been
d against our council membership files.

5. PERCENT BROTHERHOOD CONVERSION:
The formula used here is:

Item 4b
Item la - Item 4a +Item 4b

I I3lftl %
X 100

The result is rounded up to the next whole
number if there is a fraction of .5 or greater.

SCOUT EXECUTIVE

~F11:1E ARROW

TER 2011

BOY SCOUTS OF AMERIC

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                <text>Contains items related to Ahoalan-Nachpikin Lodge #558, Order of the Arrow. &lt;br /&gt;&lt;em&gt;See also&lt;/em&gt; &lt;a href="https://kiakimamuseum.org/collections/show/28"&gt;Ahoalan-Nachpikin Lodge Dancing Bear Newsletters&lt;/a&gt;</text>
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            <text>Lodge &amp; Council: Ahoalan-Nachpikin Lodge, Chickasaw Council #558 B&#13;
H~dquarte~Ci~ /[SM~e~m~~ph~i~s.~T~N~~~~~:::~::::~~~T~j~~~~-S-&amp;-t-io_n_:~[ ..... s~-=6::~~~~~~"~~~~~~~~~~~&#13;
IMPORTANT: Return three (3) completed copies of this application&#13;
with a council check for full payment of fees to: Order of the Arrow,&#13;
BSA; P.O. Box 152079; Irving, TX 75015-2079 on 3,r befor~&#13;
December 31, 2011. Orders for supplies, recognitions, and literature&#13;
will not be rocessed for a lodge whose charter has not been renewed.&#13;
LODGE LEADERSHIP&#13;
LODGE CHIEF:&#13;
-mail Address:&#13;
hone Number:&#13;
mail Address:&#13;
hone Number:&#13;
reet Address:&#13;
ty, State &amp; ZIP:&#13;
l'\FF Aov1sER: / :r.~, e,-r ). {J,..(f&gt;.u/o&#13;
ail Address:&#13;
ne Number:&#13;
NCIL APPROVAL&#13;
pplication is submitted by our lodge for the 2012 renewal of our lodge&#13;
r in the Order of the Arrow, Boy Scouts of America. We certify the&#13;
ation contained herein is true and accurate.&#13;
LODGE ADVISER&#13;
ut executive, I attest to the fact that all of the members of this lodge are&#13;
tly registered members of the Boy Scouts of America and have been&#13;
d against our council membership files.&#13;
SCOUT EXECUTIVE&#13;
~F11:1E ARROW&#13;
- " Print Form J&#13;
FOR NATIONAL OFFICE USE ONL y&#13;
Date Fee Received: -------&#13;
Amount Received:&#13;
Acc~o~un~t~#~6~20~2~S--4-92-0~~~~&#13;
C. 2011 LODGE FINANCES &amp; COUNCIL SUPPORT&#13;
ANNUAL LODGE MEMBERSHIP DUES&#13;
(per Arrowman)&#13;
FOS CONTRIBUTIONS&#13;
CAPITAL IMPROVEMENTS (Cash &amp; Estimated&#13;
Value of Materials)&#13;
MAN HOURS OF SERVICE&#13;
D. 2011 MEMBERSHIP SUMMARY&#13;
(As of the last day of your 2011 Lodge Dues Year)&#13;
1. END OF YEAR TOT AL MEMBERSHIP&#13;
a. Ordeal&#13;
b. Brotherhood&#13;
c. Vigil&#13;
d.TOTAL&#13;
2. LODGE CHARTER FEE&#13;
(Item 1 d multiplied by $3.00)&#13;
3. TOTAL MEMBERSHIP INCLUDES:&#13;
a. Youth (Under 21)&#13;
b Adults (Age 71 and over)&#13;
4. TOTAL 2011 INDUCTIONS&#13;
a. Ordeal&#13;
b. Brotherhood&#13;
c.Vigil&#13;
s \ \ \ \I\~&#13;
s\ \zjs\o\~&#13;
s\ \ \~o\o\~&#13;
\ \ \s\s~\o\&#13;
)&#13;
131,111&#13;
lllll~I&#13;
It IC(l t I&#13;
lllC(l'I&#13;
s\ \2.\s\3\i\.00&#13;
l'f l, Ii.I&#13;
lllSl&amp;fl&#13;
lilol1I&#13;
I lsl'(I&#13;
Ir lol&#13;
5. PERCENT BROTHERHOOD CONVERSION: I I 3lftl %&#13;
The formula used here is: Item 4b X 100&#13;
Item la - Item 4a +Item 4b&#13;
The result is rounded up to the next whole&#13;
number if there is a fraction of .5 or greater.&#13;
TER 2011&#13;
BOY SCOUTS OF AMERIC</text>
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              <text>Andrew Schrack</text>
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