KofC License Plate Request

Written by Jeff Slama. Posted in Uncategorised

License Plate Sample
Knights of Columbus Customized License Plate Request

Please print this page, then fill in the following information and mail to the addres below:

Name:  ____________________________

Address:  ____________________________________

City/State/Zip:  ______________________________________

Home Council Number:  __________

Phone:  ________________________

Email (optional):  _______________________________________

Donation (1 year-$25, 2 years-$50:  _$_________

Please mail with your Donation to:

Ralph Cupelli
Columbian Charities Treasurer
6 Circle Lane.
Kirksville, MO 63501

Confirmation of your Donation will be sent to the Financial Secretary of your council.  Your FS will then forward an Emblem Use Authorization Form to you.  Take the Authorization Form with you when you renew your License.

Thank you in advance for your support of the Missouri Religious Vocations Fund!