Lodge Information Need for the Illinois Elks State Directory

Lodge Information Needed for the Illinois Elks State Directory

Lodge Information Needed for the Illinois State Directory

"*" indicates required fields

Step 1 of 4

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

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

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

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