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If NO when will he receive ThirdDegree? MAIL ADDRESS Yes No Yes No Yes No Yes No IS HE NOW THIRD DEGREE MEMBER? ** Elected Re-elected HAVE YOU ENTERED YOUR COUNCIL NUMBER ON THE LINE ABOVE? City/Town State/Province WE, THE COUNCIL BOARD OF TRUSTEES, CONCUR WITH THE NOMINATION OF THE GRAND KNIGHT: #If YES, what office did he hold? WAS HE EVER F.S., TREAS, OR K.C. INS. AGT? # { NOTE: Question 4 does not apply in Cuba, Panama, Canal Zone, Philippines, Virgin Islands, Poland or Guatamala. Signed
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NOMINATION FOR APPOINTMENT
AS FINANCIAL SECRETARY
Please return completed form promptly to:Carl A. Anderson, Supreme KnightKnights of ColumbusAttn: Financial Secretary Department1 Columbus PlazaNew Haven, Connecticut 06510-3326 U.S.A.
WORTHY SUPREME KNIGHT:I submit the following member(s) for your consideration in appointing the Financial Secretary of
Council No. located at
Date Signed Grand Knight
Address City/Town
Zip Code State/Province E-mail Address
Signed
Signed
Signed
MEMBER NOMINATED(Print)
Full Name Street
City State Zip
NOTE: Question 4 does not apply in Cuba, Panama, Canal Zone, Philippines, Virgin Islands, Poland or Guatamala.
SIGNATURES OF TRUSTEES ARE REQUIRED.
ElectedRe-elected{
NOTE: The Financial Secretary:
1. Shall be a Third Degree Member;
2. Shall be appointed by the Supreme Knight, for a three-yearterm with performance subject toreview before reappointment
3. Shall be at least 21 years of age,
4. Shall not be engaged in the sale of life or health insurance
5. Shall not hold another officer position within the council.
6. Shall not have a criminal record.
103 1/09
MAIL ADDRESS
WE, THE COUNCIL BOARD OF TRUSTEES, CONCUR WITH THE NOMINATION OF THE GRAND KNIGHT:
City/Town State/Province
Yes No
Dues paid to:
Yes No
If NO when will he
receive Third Degree?
Yes No
#If YES, whatoffice did he
hold?
Yes No
DATE DATE OFFICE
HAVE YOU ENTERED YOUR COUNCIL NUMBER ON THE LINE ABOVE?
IS HE NOW THIRD DEGREE MEMBER? **
DOES HE SELL LIFE OR HEALTH
INSURANCE?
IS HE IN GOOD STANDING
IN COUNCIL?
WAS HE EVER F.S., TREAS,OR K.C. INS. AGT? #
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