Roland Tapscott

Good Scout Award Breakfast

Thursday, November 21, 2019 HONOREE
:30 - :45 AM - Social
:45 - 9:00 AM - Breakfast

Fauquier Springs Country Club

9236 Tournament Dr
Warrenton, VA

CHAIRMAN
Randy Allen
Piedmont District Chair,
Darren Stevens
Fire Rescue Chief,
National Capital Area Council, Fauquier County Department of
Boy Scouts of America Fire Rescue and Emergency Management

All proceeds benefit National Capital Area Council, Boy Scouts of America
$1,000- Patron
Table of eight, full-page program advertisement, listing and
presentation at event.
$500 - Benefactor
Table of eight, half page program advertisement, listing, and
presentation at the event.
$250 - Sponsor
Seating for four, program listing and advertisement at event.
Please reserve seats for ______ guest(s) at $50 each.
Though I cannot attend, I am pleased to enclose a $ ___________
contribution to the National Capital Area Council, BSA.
Name ________________________________________
Title__________________________________________
Firm _________________________________________
Address ______________________________________
City _________________ State _____ Zip __________
Telephone ___________ Fax_____________________
Email ________________________________________
Contact Name _________________________________
Solicited By ___________________________________
Bill Me for $ ______
Check enclosed for $ _______________________
(make payable to Boy Scouts of America, memo FQ19)
Online www.ncacbsa.org/fauquiergoodscout

NOTE: A portion of your contribution is tax deductible AMEX/VISA/MC/Discover for $ ____________

per IRS regulations.
For additional questions contact:
Jonathan Cartner | 301-214.9115 | Jonathan.Cartner@Scouting.org
Name ________________________________________
Card # _______________________________________
CID # __________ Exp. Date_____________________
Mail or fax to:
Good Scout Award c/o Jonathan Cartner
9190 Rockville Pike, Bethesda, MD 20814
Fax: 301-564-9513

FQ 19 #8046 #48974