Bsa Duplicateeaglescoutnesacredentials

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  • November 2019
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Duplicate Eagle Scout and NESA Credentials Duplicate Eagle Scout and National Eagle Scout Association member cards and certificates are available through the National Eagle Scout Association.

The fee for all cards is $5 each. The fee for all certificates is $3 each.

Select the type of cards or

Application for Duplicate Credentials

✓ certificates you want to order: Eagle Scout card, $5

Name __________________________________ Telephone No. __________________

Eagle Scout certificate, $3

Address ________________________________________________________________

NESA regular membership card,* $5

City ____________________________ State _______________ Zip ______________

To obtain your duplicate credentials, fill in the Eagle Scout Award information requested below, or provide a copy of your current Eagle Scout wall certificate or Eagle Scout pocket card. Note: NESA credentials are not proof of Eagle Scout Award.

NESA regular membership certificate,* $3 NESA life membership card,* $5 NESA life membership certificate,* $3 *These items are available to NESA members only.

Name/nickname ____________________________________________________________ Birth date _____________________________ (List name as it appears on old Eagle Scout card.)

Unit location_______________________________________________________________________ Unit No._______________________ Eagle Scout board of review date________________________________________ Council No. __________________________________ Social Security No. _____________________________________________

Attach check made payable to National Eagle Scout Association. Mail to NESA, S220, Boy Scouts of America, 1325 West Walnut Hill Lane, P.O. Box 152079, Irving, TX 75015-2079.

Office use only

For additional requests, please make copies of this form.

Date_________________ Per _________

Please allow two to four weeks to receive your new credentials.

Account No. 67001-4240 $____________

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