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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Lodge Name / Number *
District *
Lodge Mailing Address *
Street, City, State, and Zip
Physical address if different from mailing address.
Street, City, State, and Zip
Deliver address if different from physical address.
Street, City, State, and Zip
Lodge Phone: *
Lodge Email: *
Meeting Night: *
Meeting Time: *
Lounge Hours: *
Lounge Phone: *
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