Reach for the Stars Supreme Membership Order Form for Mother Advisors



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Date25.07.2018
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Reach for the Stars Supreme Membership Order Form for Mother Advisors
Assembly ______________________________________

Mother Advisor __________________________________

Mailing Address _________________________________

Telephone Number _______________________________

Email Address __________________________________

Below order form: Pineapple Charm



Rainbow Girl’s Name

Initiate’s Name/Date Initiated

First Line Signer

Second Line Signer

Necklace (if first charm -yes)

Pineapple


































































































































































Below order form: Star Charm



Rainbow Girl’s Name

Community Service Brief Description

Necklace (if first charm -yes)

Blue Star (earned first)

Pearl Star (earned second)








































































































































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