Price List and Order Form
Catholic Youth Apostolate
Office of Catholic Scouting
Catholic Committee on Girl Scouts
20 Archbishop May Drive, 3rd floor, Room 3208
St. Louis, Missouri 63119
314-792-7608 www.catholicyouthstl.org
  First Name*  
  Last Name*
  Address 1*
  City*
  State*
  Zip Code*
  Email*
  Phone
  Troop
  District
  Parish
  Date 00/00/08

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INSTRUCTIONS
Multiply the Quantity to the individual Price and place in the Total Box.
Add all totals and insert in Sub Total Box.
Figure Postage and insert that in Postage Total Box.
Add Sub Total and Stamp Total and insert that in Total Amount Box. Thank you.

 
Quantity
Description        Calculator Price Total

Program Books & Medals (Applications required for Medals and/or Patch Purchases)

 
Family of God Book
$5.50
 
Family of God Medal
$5.50
 
Family of God Medal and Patch
$7.50
 
Family of God Patch
$4.50
 
I Live My Faith Book
$5.50
 
I Live My Faith Medal
$5.50
 
I Live My Faith Medal and Patch
$7.50
 
I Live My Faith Patch
$4.50
 
Marian Award Project Book
$5.50
 
Number of Girls
 
 
Mary, the First Disciple Medal
$11.00
 
The Spirit Alive Book
$5.50
 
Number of Girls
 
 
The Spirit Alive Mentor Handbook
$2.00
 
The Spirit Alive Medal
$11.00
 
Quantity
Description        Calculator Price Total

Pope John Paul II: *Materials must be submitted and approved prior to receiving His Legacy Segment

 
Be Not Afraid Patch
$4.00
 
Saints Segment
$1.00
 
Martyrs Segment
$1.00
 
His Life Segment
$1.00
 
* His Legacy Segment
$1.00
 
Quantity
Description        Calculator
Price
Total

Adult Awards (Applications for nominations required for award purchases)

 
St. Elizabeth Ann Seton Medal and Certificate
$10.00
 
St. Ann Medal and Certificate
$11.00
     
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