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NC STATE ELKS ASSOCIATION, INC.
Lodge, ER & Secretary Information for the 2023-2024 Lodge Year
PLEASE SEND NO LATER THAN APRIL 12, 2024
Complete all 3 sections and click submit on page 3.
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* Indicates required question
Lodge Name / Number
*
Your answer
District
*
Your answer
Lodge Mailing Address
*
Street, City, State, and Zip
Your answer
Physical address if different from mailing address.
Street, City, State, and Zip
Your answer
Deliver address if different from physical address.
Street, City, State, and Zip
Your answer
Lodge Phone:
*
Your answer
Lodge Email:
*
Your answer
Meeting Night:
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Your answer
Meeting Time:
*
Your answer
Lounge Hours:
*
Your answer
Lounge Phone:
*
Your answer
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