2015 MAKAHIKI PRIZE ORDER FORM
Aloha Council
Boy Scouts of America
Unit Leaders: Please return this form with your prize order by May 11, 2015
***If you have a Scout that qualifies for any Top 3 Prizes - Prize order is DUE May 1***
Unit Chair / Unit Leader:
Instructions for Prize Fulfillment:
* Indicate total number of each prize
needed for all scouts sales.
* Leave blank if "zero."
Example :
2 Patches
1 Gift Card
___________________________________ ________________________________________
Last Name
First Name
____________________________ __________________ ___________________________
District
Unit Number
Unit Type
*Please print all information clearly.
* Keep a copy of this form for your
records.
*Order your prizes online at
AlohaCouncilBSA.org or drop off at Council
Service Center no later than May 11!
____________________________ _______________________________________________
Day Time Phone
Email
____________________________________________________________________________
Alternate person picking up prizes, if applicable
SELL
20
SELL
40
Your choice of $10 Scout Shop Or Walmart Gift card
Your choice of $25 Walmart Or Game Stop Gift card
Sell 1 Card: Get a patch
SELL
25
Your choice of $15 Scout Shop, Walmart or
SELL 55 Cards
80 Cards
95 Cards
110 Cards
150 Cards
200 Cards
= $30 gift card
= $50 gift card
= $55 gift card
= $70 gift card
= $90 gift card
= $125 gift card
Sell 150 Cards or
more = $50 GC
1ST PLACE
(Sell 1 Card)
Level 1: Makahiki Patch
________ _
(Sell 10 Cards)
Level 2: $5 Scout Shop Coupon
__________
2-Night stay at an Aqua Hotels or Aloha Council Campership
(sell 400 Cards to qualify)
2ND PLACE
iPad mini 16GB or Aloha Council Campership
(sell 350 Cards to qualify)
(Sell 20 Cards)
Level 3: $10 Gift Card Scout Shop ________ _ WalMart __________ ___
(Sell 25 Cards)
Level 4: $ 15 Gift Card
SS __ _____
WM __ _ ___
GS _________
(Sell 40 Cards)
Level 5: $25 Gift Card
SS __ _____
WM __ _ ___
GS _________
(Sell 55 Cards)
Level 6: $30 Gift Card
SS __ _____
WM __ _ ___
GS _________
3RD PLACE
$125 Visa Gift Card or Aloha Council Campership
(sell 300 Cards to qualify)
*Minimum sales to qualify are shown in parenthesis.*
*150 Cards = $50 Bonus GC
SS __ _____
(Sell 80 Cards)
Level 7: $50 Gift Card
SS __ _____
WM __ _ ___
GS _________
GS _________
(Sell 95 Cards)
Level 8: $55 Gift Card
SS __ _____
WM __ _ ___
GS _________
(Sell 110 Cards)
Level 9: $70 Gift Card
SS __ _____
WM __ _ ___
GS _________
(Sell 150 Cards)
Level 10: $90 Gift Card
SS __ _____
WM __ _ ___
GS _________
(Sell 200 Cards)
Level 11: $125 Gift Card SS __ _____
WM __ _ ___
GS _________
**Order prizes online at AlohaCouncilBSA.org
No later then May 11, 2015 at 5:00 PM!**
WM __ _ ___
* WM = WalMart Gift Cards
* GS= Game Stop Gift Cards
* SS = Scout Shop Gift Cards
• When ordering prizes please list the quantity in the blank
spaces
• Please provide names of Scouts for levels 3 and above with
quantity of cards sold
• Gift Cards are not stackable. (Ex. If you hit level 5, you will
receive the $25 Gift Card. You cannot receive levels 2,3 & 4
prizes on top of level 5.) You will be able to receive the level 1
______________________________________
Print name, sign and date when picking up prizes