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Necrology Reporting Form

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Report the deaths within your council here.
  
  Select the number of brother Knights that have passed away since the 125th State Convention of the Pennsylvania State Council.
  
  Enter the name of each and indicate the highest office the brother held in the Order.
  
  If you have over 20 names, please submit additional forms.
  
  The report is due no later than April 1, 2024.
  
  Council Number REQUIRED Please fill out this field. Please enter valid data.
  
  Submitted by: REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Number of Deceased Members REQUIRED Please fill out this field.
  
  Deceased Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 16
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 17
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 18
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 19
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Deceased Member 20
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Highest Office Held Please enter valid data.
  
  Submit
  
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