Troop 374 "Members Sign-up" Page

So we do not accidently give access to non-members, it is necessary that you provide all information!!!
Note: This information is only used for internal verification purposes and will not be disiminated.


Please give us your full name including middle initial and any suffix.

First Name (& Middle inital) :*
Last Name :*

Your real e-mail address is needed to return your verification.

E-mail address :*
Address :*
City :*
State : *
Zip Code :*

We need some triva (information) about you to verify that you are really WHO you say you are.
(Limited to 50 characters)

Triva to verify :*

We would like your entire phone number. (with area code)

Phone Number :*

Please enter a Login ID (Username) and Password you would like to use.
(You will need to remember BOTH of these!)

Login ID (min. 6 Characters)*
Password (min. 6 Char.)*
Password again*
Member Login Here!