Request for Background Check Form

Legal Name
SCA Name
Membership Number
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If you are a new chatelaine or have an updated membership card, please upload a picture of your blue card or a screencap from members.sca.org.
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email Address
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What is the sum of 4 and 2 ?