Southern Regional Deputy Quarterly Report
This form is used by the southern regional deputy of the KMoAS in Atlantia to submit quarterly MoAS reports. This form is emailed to the following individuals: the KMoAS and to yourself (for your records). Kingdom Deputies are considered to be the equivalent of an MoAS "at-large".
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Email *
What year does this report cover? *
What quarter does this report cover? *
SCA Name: *
Modern Name *
Has any of your contact information changed since the last reporting period? *
If yes, what information has changed?
Email Address: *
Permission is required by Society policy to electronically publish certain information. What (if any) of your personal information do you give permission to be published on the Kingdom Regnum page or the MoAS Roster page?
Membership Number: *
Expiration Date: *
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Do you have a copy of your warrant?
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