Forms - Gibault Envoy Appointment Form

Submit No Later Than July 1

(This report is to be completed annually. Attendance at the Envoy Conference does not automatically register your envoy with the Indiana State Council or with Gibault and is not a substitution for this report.)
Council No. District No.
Council Name
Gibault Envoy
  Name
 
  Spouse (if married)
 
  Address
 
  City / Zip  
 
  Contact
Phone Day
 
Phone Evening
 
Email
 
Grand Knight Grand Knight Email
 
Your Name Your Email