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Knights of Columbus Interest Form
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Contact Information
Title
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Fr.
Br.
Dr.
Mr.
Mrs.
Ms.
First Name
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Middle Name
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Last Name
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Suffix
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Address 1
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Address 2
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City
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State / Province
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ZIP / Postal Code
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Preferred Contact Method
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E-Mail
Home Phone
Work Phone
E-Mail Address
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Home Phone
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Work Phone
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Preferred time for phone contact
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Personal Information
Gender
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Male
Female
Catholic?
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Yes
No
Parish
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Active Military?
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Yes
No
Membership Status
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I'm interested in becoming a member of the Knights
I'm currently a member, but have recently moved
I don't know if I'm still an active member of the Knights
Questions / Comments
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