Knights of Columbus Washington State Council
Wade S. Walden FDD Platelets Heroes Award Honor Roll Submission Form
Grand Knight
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First Name
Last Name
Grand Knight's Email
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example@example.com
Council #
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District #
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The following members of my council or their family members have donated a total of fifty (50) or more platelets of blood. In the "STATUS" column. please indicate, member, spouse. son. or daughter. If necessary, submit additional forms.
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Please verify that you are human
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Submit
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