TO:    Report to the State Committee
          [Host] Council, BSA
          [Mailing Address]
          [City, State, Zip code]

For the Report to the State to be held February 8, [year], here are our tentative plans:

    □ Please include our report in the governor’s book.

    □ We will participate in the parade.

    □ We will have a delegation.

    □ Our delegation will number approximately _________ (no more than 30).

    □ We expect _________ at breakfast (approximate number).

Council Name: ___________________________________

Signed: ___________________________________

Contact: ___________________________________

Council Staff Adviser Phone: ___________________________________

Council Staff Adviser E-mail: ___________________________________

PLEASE RETURN THIS CARD BY DECEMBER 3, [YEAR]