High Altitude Patch Order Form

High Altitude Patch Program Ordering Form

Congratulations on earning the High Altitude Patch. Please share with us below which requirements you completed. You can then also let us know how you would like to pay and receive your patches.
Name*
Troop #*
Address*
City*
State*
Zip*
Email*
example@example.com
Section 1 - Forming, Community, Continuity
1)*
2)*
3)
4)
5)
6)
Section 2 - Troop Activities
1)*
2)*
3)
4)
5)
6)
Section 3 - Volunteer Resources
1)*
2)*
3)*
4)
5)
6)
Number of Patches needed ($3.00 per a patch)*
Please pick one of the following options:*

Mailing Patches (call for credit card payment or send a check in the mail)Picking up patches in store
Should be Empty:

High Altitude Patch Program Ordering Form