Phoenix Patrol Membership Form

Please submit application to:

Phoenix Patrol, PO Box 7218, Missoula MT 59807

Visit www.phoenixpatrol.org

Name:_____________________________________ Date:________________________

Address:________________________________________________________________

(City) (State) (Zip)

Occupation:_____________________________Phone(W)_________________________

Email:_________________________________Phone(H)_________________________

Prior Melita Island affiliation:_______________________________________________

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Why would you like to become a member of the Phoenix Patrol?:___________________

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How do you feel you can assist the Phoenix Patrol in its mission to support, conserve,

and protect Melita Island for use of youth and Scouting in Montana?

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