Lodge Information Need for the Illinois Elks State Directory 2018-19

Lodge Information Needed for the Illinois Elks State Directory

Lodge Information Needed for the Illinois State Directory

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District Name*
Area Number*
Please enter a number from 1 to 5.
Lodge Name and Number*
Lodge Address*
Street Address Address Line 2 City State ZIP Code
Lodge Phone*
Lodge Fax Number
Lodge Email Address
Lodge Meeting Days and Time

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Lodge Officers
Contact Information for the Exalted Ruler, Leading Knight and Secretary.
Exalted Ruler
First Last Spouse
Exalted Ruler Address
Street Address Address Line 2 City State ZIP Code
Exalted Ruler Email
Exalted Ruler Home Phone
Exalted Ruler Mobile Phone
Exalted Ruler Business Phone
Exalted Ruler Fax Number
Exalted Ruler Fax Number

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Leading Knight
First Last Spouse
Leading Knight Address
Street Address Address Line 2 City State ZIP Code
Leading Knight Email
Leading Knight Home Phone
Leading Knight Mobile Phone
Leading Knight Business Phone
Leading Knight Fax Number

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Secretary
First Last Spouse
Secretary Address
Street Address Address Line 2 City State ZIP Code
Secretary Email
Secretary Home Phone
Secretary Mobile Phone
Secretary Business Phone
Secretary Business Phone

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