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Knights of Columbus
Pennsylvania Central District
Fourth Degree
Assembly Installation - Request Form
Please use this form to REQUEST a date for your Assemblies Installation of Officers.
PLEASE NOTE YOUR INSTALLTION IS NOT SCHEDULED UNTIL YOU RECIEVE CONFIRMATION FROM THE MASTERS OFFICE.
Please enable JavaScript in your browser to complete this form.
Faithful Navigator Name
*
First
Last
Faithful Navigator Email Address
*
Assembly Official Name
*
Assembly Number
*
(ex. 2605)
Dates Requested for Installation (Please Include at Least Two Dates)
*
(Please include at least two dates to ensure we can schedule on the Master Schedule)
The Assembly has a Report of Chosen Officers 186 on File with the Masters Office (Required)
*
Yes
The Master and his team arrive 30 - 45 minutes prior to the Installation for setup please indicate name and phone number of who will be available to ensure access to the building. (NAME AND PHONE NUMBER)
*
Please indicate where the Master and Team members can park for the Installation
*
Submit
Summer 2023
Exemplification
125th Anniversary
Master's Schedule
Exemplification
December 3, 2022 Photos
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148 William St.
Suite 3
Pittston PA 18640
(570) 224-9909
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Knights of Columbus Pennsylvania Central District 4th Degree
Sir Knight an Honor to Serve
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