Appalachian Region Lodge Feedback Survey Name *Your Rank *RankVenture-CaptainVenture-LieutenantVenture-AgentEmail Address *State *Select OneVirginiaWest VirginiaKentuckyTennesseeNorth CarolinaSouth CarolinaGeorgiaCity *Number of Venture-Lieutenants reporting to you *Number of Venture-Agents reporting to you *Number of Venues in the Lodge *Estimated number of players active in the lodge *Number of Conventions for the lodge * Consent *Yes, I agree with the privacy policy and terms and conditions.SubmitSave as DraftPlease do not fill in this field.