Chatelaine Roster Form
For official issues, please email
chatelaine@eastkingdom.org
For technical issues, please email
web_chatelaine.eastkingdom.org
Greetings,
Use this form to add yourself to my Chatelaine Roster when your Term of Office first begins and any time your contact information changes. The Seneschal of any Group / Branch who does not have a Chatelaine should submit this form.
When you press Submit, I will automatically receive your information and you will also receive a copy.
Should you have any questions, please contact me. Thank you!
In Service,
Baroness Cellach Dhonn inghean Mhic an Mhadaidh
East Kingdom Chatelaine
* Required
Email
*
Your email
Region (pick one)
*
Northern Region
Central Region
Southern Region
Tir Mara Crown Principality
Group / Branch
*
Your answer
Office you hold (pick one)
*
Local Chatelaine
Local Seneschal (our Group / Branch does not have a Chatelaine)
Regional Chatelaine
Chatelaine SCA Name
*
Your answer
Legal Name (Last, First)
*
Your answer
Email Address (for SCA correspondence)
*
Your answer
Phone Number (include Area Code)
*
Your answer
Address Line 1
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State/Province/Region
*
Your answer
Postal Code
*
Your answer
Country
*
United States
Canada
Membership Number (7 digits)
*
Your answer
Membership Expiration Date (MM/DD/YYYY)
*
MM
/
DD
/
YYYY
Warrant Start Date
MM
/
DD
/
YYYY
Warrant Expiration Date (if you know it)
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
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