Knights of Columbus St. John XXIII Council 13624 Member Information Form
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Email address *
Is this a new email address that you would like assigned to your account? *
First name *
Last name *
Should we include your phone number and email address in our directory which we provide to council members? *
If your phone number has changed, please provide it below:
If your mailing address has changed, please provide it below. (You may optionally specify winter & summer addresses.)
Have you been receiving the email announcements from our council?
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Knights of Columbus member number:
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