TOOTSIE ROLL PROGRAM CHAIRMAN REGISTRATION

COLUMBUS CHARITIES - TOOTSIE ROLL PROGRAM

Council Chairman REGISTRATION Form
Helping People with Disabilities

Worthy Grand Knight,

The annual fund raising to Help People with Disabilities requires your confirmation that your Council will participate in this year’s drive and to provide contact information for your Council Chairman for our files.
Council Name*
Council Number*
District Number*
Will Your Council Participate in the Tootsie Roll Program (Fraternal Year 2025-2026)?*

YesNo
Chairman Name

First NameLast Name
ERROR!

This form is for use by KOFC Councils in Washington State only!
Chairman Mailing Address

Mailing Address 1

Mailing Address 2

CityState

Zip Code
Grand Knight's Name*

First NameLast NameSuffix
Grand Knight's Email*
example@example.com
Submitted Date*

MonthDayYear
Date
Grand Knight's Signature*

Use your mouse to sign this form in the field above
Please verify that you are human*
Should be Empty:

COLUMBUS CHARITIES - TOOTSIE ROLL PROGRAM