Council officers and Delegates

2010-2011

Please fill out all information

COUNCIL OFFICERS INFORMATION:

Council:   Council Number:

Grand Knight:  Spouse:

Address:  City:       Zip:

Preferred Phone No:    E-Mail Address:

Deputy Grand Knight:  Spouse:

 Address:  City: Zip:              

 Preferred Phone No:  E-Mail Address:  

Financial Secretary:  Spouse:

 Address: City: Zip:

 Preferred Phone No:  E-Mail Address:

COUNCIL DELEGATES & ALTERNATES to SAN JOSE CHAPTER:

  

Delegate # 2:

Address: City: Zip:  

Preferred Phone No:   E-Mail Address:

Delegate # 3: Position:

Address: City: Zip:  

Preferred Phone No:  E-Mail Address:

Alternate  # 1:  Position:

Alternate  # 2:  Position:

Alternate  # 3:  Position:

I, as Grand Knight or Financial Secretary certify that the above council delegates are each third degree members in good standing:

Name of person Submitting this form:  Position:  

           

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