Form133

Page 1

NOTICE OF INTENT TO ESTABLISH A NEW COUNCIL FORM 133 11/ 03

TO Supreme Secretary

FROM State Deputy: Jurisdiction:

District Deputy

of District No. NAME

has been directed to explore the possibility of developing a new council in

. CITY OR TOWN

The membership for this new council will be drawn from the following parish(es) in the area:

This location is in the area covered by General Agent who

has been advised

has not been advised of this Notice of Intent to establish this new council.

Anticipated Institution Date:

Please send Canvasser’s Kit to: District Deputy: Street Address: City:

State or Province:

Zip:

Signed: STATE DEPUTY

Mail Original To:

State Deputy Then Supreme Office

DATE

Mail Copies To:

State NCD Chairman District Deputy


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