Assumption-Msgr. James J. Dorney Council #1694Knights of Columbus

Membership Form

Assumption-Msgr. James J. Dorney Council #1694Knights of Columbus

MEMBERSHIP FORM

COUNCIL #1694

FIRST NAME/MI

LAST NAME

EMAIL

CELL PHONE

DATE OF BIRTH

ADDRESS

STATEN ISLAND, NY ZIP_______________

Blessed Fr. Michael McGivney-Pray for us!

Blessed Fr. Michael McGivney-Pray for us!

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