LSSQ NOMINATION for INDUCTION 2024

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Lone Star State Ques (LSSQ) Hall of Fame

Email *

First Name: *

Last Name:: *

Control #: *

Current Chapter

Initiation Chapter Name: *

Initiation Date:

YYYY

Email Address: *

Contact Number: Please include dash in number ex. (xx1-117-1911) *

(Email additional pages if needed to: toburd@grandecom.net) DESCRIBE NOMINEE’S CONTRIBUTION TO HIS LOCAL CHAPTER (150 WORDS MAX):

DESCRIBE HIS CONTRIBUTION TO THE LOCAL COMMUNITY (150 WORDS MAX):

WHAT IS THE NOMINEE’S CONTRIBUTION TO LSSQ? (150 WORDS MAX):

DESCRIBE HIS CONTRIBUTIONS TO IHQ (150 WORDS MAX):

Local Chapter Basileus First Name: *

Local Chapter Basileus Last Name: *

Local Chapter Basileus Email Address: *

Local Chapter Basileus Contact Number: Please include dash in number ex. (xx1-117-1911) *

Send me a copy of my responses.

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