Base/Outpost Application

Proposed Name of new Base/Outpost:(required)

Name of new Base/Outpost Commander:(required)

Define geographic region of new Base/Outpost:(required)

Base/Outpost Executive Officer:(required)

How many current members do you have in your proposed Base/Outpost: (required)

Do you have a logo designed for your Base/Outpost: (required)

Do you know of any more potential members in your area? If yes, how many and how soon do you plan to sign them up:(required)

Will you have any other staff positions in your base/outpost such as Web Master, Public Relations, etc: (required)

What are your plans for the new Base/Outpost: (required)

Are you going to create a Base/Outpost website: (required)

Base/Outpost website:

Your email address: