This form will be used in place of CHEA Form 1004. Complete the information and click “send” – the content will be immediately emailed to our Executive Assistant, Charisce.

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District Chairman Recommendations

Select the District:

Accounting Consultants Chairman

Name: Spouse:
Lodge:
Address:
City:
State:
Zip:
Residential:
Business:
Cell:
Fax:
Email:

Americanism

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
Fax:
Email:

BLT Legacy Giving Chairman

Name: Spouse:
Lodge:
Address:
City:
State:
Zip:
Residential:
Business:
Cell:
Fax:
Email:

Bowling Chairman (Optional)

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
Fax:
Email:

Business Practices Chairman

Name: Spouse:
Lodge:
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Zip:
Residential:
Business:
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Fax:
Email:

CLMS Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
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Drug Awareness Chairman

Name: Spouse:
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Residential:
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Government Relations Chairman

Name: Spouse:
Lodge:
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Hoop Shoot Chairman

Name: Spouse:
Lodge:
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Residential:
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Cell:
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Housing Coordinator

Name: Spouse:
Lodge:
Address:
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Residential:
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Cell:
Fax:
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Insurance & Safety Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
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Cell:
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Lodge Activities Chairman

Name: Spouse:
Lodge:
Address:
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State:
Zip:
Residential:
Business:
Cell:
Fax:
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Membership/Lapsation Chairman

Name: Spouse:
Lodge:
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Residential:
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Fax:
Email:

National Foundation Chairman

Name: Spouse:
Lodge:
Address:
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Residential:
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National Foundation Grants Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
Fax:
Email:

National Veterans Service

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
Fax:
Email:

Officers Training Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
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Email:

Piggy Bank Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
Fax:
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Public Relations Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
Fax:
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Ritual Contest Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
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Cell:
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Email:

Ritual Contest Member #1

Name: Spouse:
Lodge:
Address:
City:
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Zip:
Residential:
Business:
Cell:
Fax:
Email:

Ritual Contest Member #2

Name: Spouse:
Lodge:
Address:
City:
State:
Zip:
Residential:
Business:
Cell:
Fax:
Email:

Ritual Training Chairman

Name: Spouse:
Lodge:
Address:
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Zip:
Residential:
Business:
Cell:
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Email:

Scholarship Chairman

Name: Spouse:
Lodge:
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Residential:
Business:
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Fax:
Email:

Scouting Chairman

Name: Spouse:
Lodge:
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Residential:
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Youth Activities Chairman

Name: Spouse:
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Comments

CHEA District Chairman Recommendations — 7 Comments

  1. Please send me back a copy of the above committee chairman so I can forward it on to my district directory chairman.

    Thank you,

    Steve

  2. Hi Charisce, please send me a list that can be saved or printed. I want to send it to my District Directory Chairman.
    Thanks

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