Prize Order Form Fall Product Sale 2021 Prize Ordering Website: www.kellerprizeprogram.com Council ID: 460ESC Council Name: Erie Shores Council Unit Type: Pack / Troop / Crew / Post Unit # ______________ (circle one) Council Headquarters City: Toledo, OH Retail Sales Dollars $___________________ District Name: _____________________________________________ # of Scouts Selling ____________________ Shipping Address Mailing Address (If Different than Shipping Address) Name: ________________________________________________________ Name: ________________________________________________________ Street: ________________________________________________________ Street: ________________________________________________________ City: ______________________________ State: _______ Zip: ___________ City: ______________________________ State: _______ Zip: ___________ Phone: ________________________________________________________ Email: ________________________________________________________ Description Tally/Scout Order Description Tally/Scout Order Level 1 - Sell $25 Level 8 - Sell $1,000 0.1 Popcorn Sale Patch 25 HEXBUG VEX Ambush Striker 26 LEGO Speed Champions Formula E Racing $900 Bonus Level 27 2-Person Waterproof Tent - Green 0.2 6-in-1 Cooking Tool 28 Grab Bag G 0.3 Zing Firetek Rocket 0.4 LEGO Friends Mia's Foal Stable Set Level 9 - Sell $1,500 29 Walkie-Talkie Level 2 - Sell $180 30 LEGO DC Super Heroes w/ Batman & 1 Fire Starter Wonder Woman 2 Carabiner w/ Strap & BSA® Branding 31 Camping Bluetooth Speaker 3 Compass Thermometer Whistle 32 $50 Scout Shop Card 4 Pop Up Phone Stand/Holder Level 10 - Sell $2,000 Level 3 - Sell $260 33 High Sierra Tactical Pack 5 Mini Dual LED Dynamo Flashlight w/ 34 HEXBUG Battleground Tower w/ 2 Spiders Keychain & BSA® Branding 35 LEGO Star Wars Resistance Y-Wing Starfighter 6 Cinch Backpack w/ BSA® Branding 36 $70 Scout Shop Card 7 Retractable Straw & Utensil Set 8 Color Changing Watch/Pedometer Level 11 - Sell $2,750 37 LEGO Harry Potter's Hogwarts Clock Tower Level 4 - Sell $385 38 Coleman 4-Person Tent 9 Multi-Function Knife 39 Holy Stone Drone w/ HD Camera 10 First Aid Kit 40 $100 Scout Shop Card 11 Stikball Twin Pack w/ BSA® Branding 12 6" Penguin w/ BSA® Branding Level 12 - Sell $3,500 41 Adventure Camp Package Level 5 - Sell $575 42 HEXBUG Build Blitz 13 3 Watt-200 Lumen COB LED Headlamp 43 LEGO Friends Water Park & Café 14 Air Hunterz Zano Bow w/ 2 Zarts 44 $130 Scout Shop Card 15 SOS Survival Kit 16 Thinking Sand Castle Level 13 - Sell $4,250 45 Skullcandy Indy ANC Earbuds Level 6 - Sell $725 46 Dart Zone Pro MK 1.1 17 Rosewood Knife w/ Clip in Box & BSA® 47 LEGO Technic Porsche 911 RST Branding 48 $160 Scout Shop Card 18 Cooler Chair w/ Backpack 19 HEXBUG Nature Babies - Snow Leopard Level 14 - Sell $5,500 20 Grab Bag E 49 Carrera Evolution DTM Ready to Roar 50 Coleman 10'x9' DarkRoom Fast Pitch Level 7 - Sell $850 Screened Dome 6-Person Tent 21 Aluminum Safety Flashlight 51 LEGO Bugatti Chiron 22 Telescope w/ 40x Magnification 52 $250 Scout Shop Card 23 Telescoping Fishing Pole w/ Reel 24 Grab Bag F PLEASE SUBMIT PRIZE ORDER BY NOVEMBER 11, 2021 Web: www.kellerprizeprogram.com Council ID: 460ESC Mail: Erie Shores Council, PO Box 8728, Toledo, OH 43623 Email: [email protected] FAX: 419-241-6769 Call: 419-843-0111.