Form137

Page 1

APPLICATION FOR CHARTER FORM 137 11/ 03

Council Growth and Development Department, Supreme Council, Knights of Columbus: Listed herewith are the names of charter members of a new council that has been instituted in the city of in the jurisdiction of

.

The date of institution of this new council was

.

The name selected and adopted for this new council is

.

Please print or type names:*

Signed: DISTRICT DEPUTY

*Please put names in alphabetical order, use full name (no nicknames).

DATE


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