CHAPTER DELEGATE CREDENTIAL
Chapter Information:
Delegate Information:
Certification

To District Keeper of Records and Seal

This is to certify that the above name is a member of this chapter, the information is correct and he is in good financial standing. The Brother has been duly selected as a delegate or alternate and have all the rights and privileges appertaining thereunto this 2018 Annual Third District Meeting

Acknowledgement

NOTE: Please send this form to the District KRS at least fifteen (15) days prior to the District Meeting. (Due: March 28,2018)