Northern California DeMolay DeMolay Sweethearts Alumni
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Form 9
Form 11
Form 12
Chapter Admin Handbook
Supply Order
Label Request
Proud of Our Community Points

 

 

FORM 11

This form must be submitted to Northern California DeMolay within ten (10) days following the Installation of Officers.

Chapter Name:
Installation Date:
   
Person submitting:
Your E-Mail:
   
Master Councilor
Name:
  R.D.?    L.C.C.?    D.L.C.?
Street Address:
City: Zip:
Phone:
Birthdate:
E-Mail Address:
   
Senior Councilor  
Name:
  R.D.?    L.C.C.?      D.L.C.?
Address:
City: Zip:
Phone:
Birthdate:
E-Mail Address:
   
Junior Councilor  
Name:
  R.D.?     L.C.C.?     D.L.C.?
Address:
City: Zip:
Phone:
Birthdate:
E-Mail Address:
   
Chapter Advisor  
Name:
  L.C.C.?
Address:
City: Zip:
Work Phone:
Phone:
Birthdate:
E-Mail Address:
   
Chapter Information  
   
Chapter Meeting Nights:
Month of Next Installation:
Sponsoring Body:
   
Advisory Council Chairman
Name: L.C.C.?
Address:
City: Zip:
Phone:
Work Phone:
Birthdate:
E-Mail Address:
   
Parents Club:  
Name: L.C.C.?
Address:
City: Zip:
Phone:
Birthdate:
E-Mail Address:
   
Sweetheart  
Name: L.C.C.?
Address:
City: Zip: Pink Honor Key?:
Phone:
Birthdate:
E-Mail Address:
   
Senior Princess  
Name: L.C.C.?
Address:
City: Zip: Pink Honor Key?:
Phone:
Birthdate:
E-Mail Address:
   
Junior Princess  
Name: L.C.C.?
Address:
City: Zip: Pink Honor Key?:
Phone:

Birthdate:
E-Mail Address:

 

 

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34400 Mission Blvd. Union City, CA 94587 800.439.6232