Khăn Huynh Trưởng and Trợ Tá Request Form

Huynh Trưởng and Trợ Tá Scarf Replacement Request

Request form for lost or misplaced Huynh Trưởng or Trợ Tá scarf
With the approval of your Đoàn Trưởng and Tr. Nhã My (LĐT), please complete to request a new Huynh Trưởng or Trợ Tá scarf.
Chapter*
Đoàn
Chapter Name:
Recipient's Name*

First NameLast Name
Recipient's E-mail*
example@example.com
Where should the scarf (khăn) be sent to?*

Name

Street Address

CityState

Zip Code
Verification
To verify your status as a Huynh Trưởng or Trợ Tá, please choose ONE of the following verification methods:

A) Most recent promotion certificate

B) Information of your most recent training camp/sa mạc including: training camp name and ID number, date, location, and SMT
Choose ONE of the verification methods.*

Upload most recent promotion certificateProvide information on most recent training camp/sa mạc
1. Promotion Certificate/Chứng Chỉ Khả Năng*

Cancelof
Training Camp/Sa Mạc Information*

Camp NameCamp ID Number
Date of Training Camp*

MonthDayYear
Date
Location of Training Camp*
Sa Mạc Trưởng Name*

Saint NameFirst NameLast Name
CONFIRMATION
BY ACKNOWLEDGING AND SIGNING BELOW, I AM AGREED THAT THE INFORMATION I PROVIDED ABOVE IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE.
Signature*

Clear

PAYMENT
- After you click "Submit Form", you will then be taken to PayPal where you will pay and this process will be completed. If you don't pay, your request will not be completed.
- If you have any questions, please email Tr. Hien @ hien.tran@veym.net
My Products
prevnext( X )
Khăn Huynh Trưởng
$17.00 Quantity

Trợ Tá Khăn Trợ Tá
$17.00 Quantity

Subtotal

$0.00

Shipping

$0.00

Total

$0.00
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Huynh Trưởng and Trợ Tá Scarf Replacement Request