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Apply for membership in
St. Elizabeth's Council 8747 of
Milpitas California

 

Last Name
First Name
Middle Initial
E-Mail Address
Mailing Address
City
State
Zip Code
Telephone Number
( ) (e.g. 408 555-5555)
Date Of Birth
 (e.g. 1978)
Marital Status
Number of years at the above address
Occupation
Former Columbian Squire
Yes No
Are You A Practical Catholic In Communion With The Holy See?
Yes No
Name Of Parish
Did You Apply For Membership Previously?
Yes No
Degrees Received and Dates
First  (e.g. 1978)
Second  (e.g. 1978)
Third  (e.g. 1978)
Fourth  (e.g. 1978)
Number of Last Council
Location of Last Council
Location
City
State
Date of Membership Termination  (e.g. 1978)
Remember to double check your data BEFORE hitting the SUBMIT BUTTON



 
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