Diocese of Nashville Catholic Committee on Scouting

Diocese of Nashville Catholic Committee on Scouting - Rockers

Diocesan Patch and Rocker Patches Order Form

Items	Cost	Quantity	Sub-Total
Boy Scouts Rocker Patches
Light of Christ	$2 x	_______ =	$ ______.00
Parvuli Dei	$2 x	_______ =	$ ______.00
Ad Altare Dei	$2 x	_______ =	$ ______.00
Pope Pius XII	$2 x	_______ =	$ ______.00
Girl Scouts Rocker Patches
Family of God	$2 x	_______ =	$ ______.00
I Live My Faith	$2 x	_______ =	$ ______.00
Marian Medal	$2 x	_______ =	$ ______.00
A Spirit Alive (not shown above)	$2 x	_______ =	$ ______.00
Misc. Items
Replacement Diocesean Patch	$4 x	_______ =	$ ______.00
Counselor Rocker Patch	$2 x	_______ =	$ ______.00
Committee Member Rocker Patch (not shown above)	$2 x	_______ =	$ ______.00
Total:			$________.00

(Please Print)

(Circle one)

Yes / No

I would like to get information sent to me regarding the Catholic Committee on Scouting upcoming events.

Send your order to:

Catholic Committee on Scouting
Attn: Katie Kendall
P.O. Box 132
Pegram, TN 37143-0132