Arrowhead-Desert Valley Chapter
Web Site
Degree Information Form

 

 

Please fill in all the spaces.

Degree (circle) 1st  2nd  3rd

 

 

 

Day:_______________________ Date:___________________________________

Time (degree):__________________ Time (registration):_____________________

Host:_______________________________________________________________

Location (e.g.: council hall):______________________________________________

Address:_______________________________________

City:___________________________________________

Contact:________________________________________

Telephone No.:__________________________________

E-Mail:_________________________________________

Dress:___________________________________________

Cost:____________________

Notes:________________________________________________________

_________________________________________________________

_________________________________________________________

Please send as soon as possible:

 

Michael W. La Pre'
2065 O'Malley Way
Upland, CA   91784
Fax To:  909-982-0521
 E-Mail:  scoutkofc@verizon.net




 Copyright © 2003-2008 Knights of Columbus: Arrowhead-Desert Valley Chapter.
For questions or comments regarding this website contact: ScoutKofC@verizon.net
Last updated: April 13, 2010.