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Use the following form to submit questions and/or comments to a member of the Bethalto Knights of Columbus.  You will receive a reply as soon as possible.  You can identify a specific member to receive your message, or it will be forwarded to the appropriate person based on the content of your message.  Required entries are followed by an asterisk.  All others are optional.
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First Name *
Last Name *
E-mail Address *
Street Address 1
Street Address 2
City
State
Enter two letter abbreviation for state
Zip Code
Enter five digit zip code
Phone Number
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Preferred Contact Method
K of C Member Addressee
Identify a specific member to whom your message is addressed. (Optional)
Questions and/or Comments *
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