REQUEST for an INFORMATION PACK for
Adventure Service Challenge

To request an information pack about the Adventure Service Challenge scheme, please complete the Form below, then click "Send request". [NB: Use "tab" key to move down the form.]

The information pack is normally provided as a CD-ROM (PC format autorun).

If you want a paper (hard) copy instead, please check this box

Title (Mr, Mrs, Ms, Dr, Rev'd, etc) - limit 15 characters:

First Name/Initials --------------------- limit 30 characters:

Last Name ------------------------------- limit 35 characters:

Postal Address, 1st line - limit 50 characters :

Postal Address, 2nd line - limit 50 characters:

Postal Address, 3rd line - limit 50 characters :

Postal Address, 4th line - limit 50 characters :

Post Code -------------------- limit 10 characters:

Telephone number --------- limit 25 characters:

e-mail address -------------- limit 30 characters:

How did you first learn about ASC?- limit 100 characters:

If you are requesting information in respect of a particular organisation, please give details -
limit 100 characters:

Your position in that organisation - limit 50 characters:

Age range of (prospective) members: 8 to 11 11 to 14+ (check either, or both, as appropriate)

If you have a specific question, or comment, about the ASC Scheme, please enter it below.

The ASC Scheme,
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