Outgoing Officer Form

An outgoing officer who is not re-elected for the next year and does not seek re-election anymore.
Recipient must be a current SPJST member.
Recipient must be alive at time of selection.

The plaques should be awarded at your local lodge meeting. The plaque may also be mailed to the recipient or delivered by the Home Office.

Please allow at least three weeks for processing. Deadline is February 20, 2009.

Examples:

Name: Gordy Hoofnagel • Office(s) Held: President, Treasurer • No. of Year(s) of Service: 2000-2008 (9 years)
Name: Jane Doe • Office(s) Held: President • No. of Year(s) of Service: 2006-2007 (2 years)

* Required fields
Name *
E-mail Address *
Lodge No. *
District No. *
Outgoing Officer Name *
Office(s) Held *
No. of Year(s) of Service *
Outgoing Officer Name
Office(s) Held
No. of Year(s) of Service
Outgoing Officer Name
Office(s) Held
No. of Year(s) of Service

I have read and agree to the Privacy Policy *

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