Knights of Columbus Information Request

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To request information about membership and programs offered by Millstone Valley Knights Council 11415, please complete the form and one of our officers will contact you shortly.

Full Name (please include First, MI, Last) *

Date of Birth *

YYYY

Email address *

Phone Number *

Street Address

City, State Zip Code *

Are you interested in becoming a Knight with our Council? *

Yes

Not sure - I'd like to learn more about becoming a Knight

I am a baptized Catholic male

Yes

Clear selection

I am a practical Catholic (A practical Catholic accepts the teaching authority of the Catholic Church on matters of faith and morals, aspires to live in accord with the precepts of the Catholic Church, and is in good standing in the Catholic Church.)

Yes

Clear selection

Are you currently, or have you ever been, a member of the Knights of Columbus?

Yes

Clear selection

What is the name of your Parish / Church?

Parish City, State

Do you have any specific questions about the Knights of Columbus and our Council?

When is the most convenient time to try to reach you?

Morning

Afternoon

Evening

Clear selection

What is the best way to reach you?

Phone

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Submit

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