APPLICATION FOR CHARTER
Council Growth and Development Department, Supreme Council, Knights of Columbus:
Listed herewith are the names of charter members of a new council that has been instituted in the city of
Signed:
DATEDISTRICT DEPUTY
i
n the jurisdiction of .
.
.
The date of institution of this new council was
The name selected and adopted for this new council is
Please print or type names:*
FORM 137
11/ 03
*Please put names in alphabetical order, use full name (no nicknames).