Deceased Member Report

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**Members who passed between January 1 - December 31 of the past year only.**

(please don't include member's deaths from previous years)

(This form will receive answers from January 1 - February 28)

Council *

Select from the drop down list

Enter the names of brother Knights who passed away since February 1 of the previous year *

Please enter one name per line

Name of the Member Completing the Form *

Email Address of Member Completing the Form *

Office held by Member Completing the Form (select one) *

Grand Knight

Financial Secretary

Recoder

All others or not an Officer