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<br />Adopt a Wood Duck House Application <br /> <br />Name: <br /> <br />Address: <br /> <br />Phone Number: Home: <br />Work: <br /> <br />Proposed Location of Wood Duck House: <br /> <br />AGREEMENT <br />I agree to annually clean out the wood duck house and to put in new wood chips. I agree <br />to fix, maintain, and keep the wood duck house in working order. <br /> <br />Applicants Signature: <br /> <br />Date: <br /> <br />*Jfyou would like to make a donation to the Adopt a Wood Duck House Program <br />please indicate amount here. $ <br /> <br />*Please make checks payable to Troop 232, and mail them to: <br />7017 Brian Drive Centerville, MN 55038. <br /> <br />*To contact me call 651-426-9791, or email me at dewvi08(ci)vahoo.com. <br /> <br />