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Supreme Assembly

Officer Appointment Response Form

To: The Supreme Associate Matron

Yes! I am pleased to accept the Officer appointment

No - Sorry but I decline the appointment

I will attend Supreme Assembly 2010

I will attend Supreme Assembly 2011

Please send me 2010 Tour information


Please list your Name and Address as you want it to appear in the Directory. Note: all items marked with "*" are required.

Title:

Full Name: *

Office Offered: *

E-Mail Address:

Mailing Address

    Street: *

    City: *

    Jurisdiction: *

    ZIP/Postal Code: *

Telephone Number:


Please enter the password you were provided with on your appointment letter here: *

 

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Thank you for your support of the Order of Amaranth.

H. L. Peggy Ball, Supreme Associate Matron

       

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  since 3/15/2003