Name of Scout Group (required)

Name of Leader or Contact Person (required)

Postal Address (required)

PostCode (required)

SCOUTS NZ Region (required)
---Upper North IslandCentral North IslandLower North IslandUpper South IslandLower South IslandOther/Not Applicable
SCOUTS NZ Zone

Contact Email address (required)

Contact telephone number

Quantity of (63mm) 2018 Day Hike badges required

Quantity of (63mm) 2018 Night Hike badges required

Note: minimum order quantity of 6 badges in total please.

Location of event (eg name of park, beach, local landmark - required)

Description of event (eg city ramble, beach stroll, steep hills, flat terrain etc)

Additional notes or comments

Once you press "Send" this information will be sent to the person who distributes the badges, and a copy will be sent to the email address you supplied above.
The Badge Distributor will contact you about your order. Badge orders closed on 12 June 2018, we will work with late orders to reach some sort of appropriate cost and lead time