1993 11/10
USE THIS PAGE TO RECORD THE FAMILY OF THE MONTH
WINNERS FOR COUNCIL RECORDS
JULY: THE FAMILY OF: _______________________________________
AUGUST: THE FAMILY OF: _______________________________________
SEPTEMBER: THE FAMILY OF: _______________________________________
OCTOBER: THE FAMILY OF: _______________________________________
NOVEMBER: THE FAMILY OF: _______________________________________
DECEMBER: THE FAMILY OF: _______________________________________
JANUARY: THE FAMILY OF: _______________________________________
FEBRUARY: THE FAMILY OF: _______________________________________
MARCH: THE FAMILY OF: _______________________________________
APRIL: THE FAMILY OF: _______________________________________
MAY: THE FAMILY OF: _______________________________________
JUNE: THE FAMILY OF: _______________________________________
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s Knights of Columbus,we have always beeninterested in the devel-
opment of strong, vibrant fami-lies. In support of this philoso-phy and to create an evengreater awareness of our manyfine Knights of Columbusfamilies, the Supreme Councilinstituted the “Family of theMonth” program in 1978.
Since that time the “Familyof the Month” program hasgrown to be one of the Order’smost successful programs. Toparticipate in the program, yourcouncil must first select a mem-ber and his family as the“Family of the Month” using theguidelines explained on pagetwo of this booklet. Then com-plete and submit the correspon-ding “Family of the Month”report form (printed on pages 3through 14) to the SupremeCouncil office. Specify the rea-sons for the selection on thereverse side of the report. Orcopy and use the genericreport form (printed on page15) to fax this informationto the Supreme Counciloffice.
On the fifteenth day of eachmonth — from August throughJuly — 100 “Family of the
Month” reporting forms will bedrawn at random from amongall entries received at theSupreme Council office for theprevious month. Each of the100 selected families willreceive a beautiful HolyFamily gift, along with a per-sonal letter of congratula-tions from Supreme KnightCarl A. Anderson. These willbe sent directly to the familiesat their home addresses.
Remember — as your councilselects each “Family of theMonth,” the appropriate report-ing form should be completedand signed by the grand knight.Completed council formsmust reach the SupremeCouncil office by the 15thday of the month followingthe month designated oneach individual report form.Dates for reporting are specifiedat left.
The “Family of the Month”program is an excellent way torecognize and support councilfamilies. Participate in the pro-gram and each month a brotherknight and his family from yourcouncil will receive local hon-ors and the chance to be aSupreme Council selection!
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FAMILYof the
MONTH
“Family of the Month”Supreme Council Selection Deadlines
July Family — August 15August Family — September 15September Family — October 15October Family — November 15
November Family — December 15December Family — January 15January Family — February 15February Family — March 15
March Family — April 15April Family — May 15May Family — June 15June Family — July 15
HOLY FAMILY
ach council shouldestablish a commit-tee charged
with the responsibility ofselecting a “Family of theMonth” each month. Setup guidelines to help yourcommittee choose themost deserving councilfamily for this honor.Listed below are somesuggestions that mayprove helpful to yourcommittee.
A. Committees should bemade up of members whoknow many of the councilfamilies and who want tosupport family life.
B. Committee membersshould interview parishpriests, neighbors, councilmembers, etc., to getrecommendations, refer-ences and evaluationsconcerning council fami-lies. They should alsospeak directly to the fami-lies considered.
C. The committee shouldconsider the following fac-tors in their search for a“Family of the Month:”
• Has the family madesignificant contribu-tions to the Church,community and/orcouncil?
• Does the family enjoyone another?
• Does the family shareexperiences?
• Does the family com-municate openly andhonestly?
• Does the family prayand attend Masstogether?
• Does the family spendits time together inter-acting instead of infront of the televisionset?
D. The “Family of theMonth” committee doesn’tneed to seek out a “SuperFamily” each month. Thecommittee should look fora family that lives tradi-tional Christian familyvalues and deservesrecognition for doing so.
Be sure your councilhonors the family chosen“Family of the Month.”Invite the entire family toa meeting to receive thecouncil’s “Family of theMonth” award. TheSupreme Council officehas a full-color “Family ofthe Month” certificate(Item #1843) available tocouncils for presentationto families selected. Thecertificate is 81/2” x 11”and may be obtained fromthe Supreme CouncilSupply Department inquantity for 25¢ each.
ach year, thosecouncils participat-ing in the “Family
of the Month” programshould also select a“Family of the Year.”
When selecting yourcouncil’s “Family of theYear,” follow guidelinessimilar to those used bythe committee in choosingeach “Family of theMonth.” Usually the“Family of the Year” ischosen from those fami-lies named “Family of theMonth” in the precedingtwelve months. Your judg-ing committee shouldconsider whether eachfamily has continued toexemplify the traits of asolid Knights of Columb-us family. Determinewhich council familystands above the rest inpromotion of the princi-ples of our Church andour Order. Which familycan best be called the“model” family for all inthe council to follow? Inevery aspect of service tothe Church, communityand council, as well as toeach other, which familymost deserves the title,“Family of the Year”?
Your council’s “Fam-ily of the Year” shouldalso receive a fitting trib-ute. To help you honoryour “Family of theYear,” the Supreme Counciloffice makes available a
full-color “Family of theYear” certificate (Item#1843A). The certificatemeasures 81/2” x 11” andis signed by SupremeKnight Carl A. Anderson.Single copies of the certifi-cate are available for 25¢each from the SupremeCouncil Supply Department.
Individual jurisdic-tions conduct statewide orprovincial “Family of theYear” competitions eachyear. The Supreme Coun-cil’s “International Familyof the Year” is chosenfrom among those stateand provincial winners.NOTE: Internationalwinners selected maynot be employees of theKnights of ColumbusSupreme Council.Once your council selectsa “Family of the Year,”use the “Family of theYear” Entry Form foundon page 17 to enter thatfamily into the state/pro-vincial competition. Eachjurisdiction sets its owndeadline for entries (usu-ally in time to honorwinners at the state con-vention), so watch forinformation from yourstate council and be sureto choose and enter yourcouncil winner in time forstatewide competition.
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#1843
#1843A
FAMILYof the
MONTHFAMILY
of theYEAR
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JULY_____
DUE BYAUGUST 15
AUGUST_____
DUE BYSEPTEMBER 15
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the July “Family of the Month” for Council _____________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the August “Family of the Month” for Council ___________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
FAMILYof the
MONTH
FAMILYof the
MONTH
Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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SEPTEMBER_____
DUE BYOCTOBER 15
OCTOBER_____
DUE BYNOVEMBER 15
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the September “Family of the Month” for Council _______________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
FAMILYof the
MONTH
FAMILYof the
MONTH
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the October “Family of the Month” for Council __________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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NOVEMBER_____
DUE BYDECEMBER 15
DECEMBER_____
DUE BYJANUARY 15
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the November “Family of the Month” for Council ________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the December “Family of the Month” for Council ________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
FAMILYof the
MONTH
FAMILYof the
MONTH
Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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JANUARY_____
DUE BYFEBRUARY 15
FEBRUARY_____
DUE BYMARCH 15
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the January “Family of the Month” for Council __________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the February “Family of the Month” for Council _________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
FAMILYof the
MONTH
FAMILYof the
MONTH
Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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MARCH_____
DUE BYAPRIL 15
APRIL_____
DUE BYMAY 15
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the March “Family of the Month” for Council ___________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the April “Family of the Month” for Council _____________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
FAMILYof the
MONTH
FAMILYof the
MONTH
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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MAY_____
DUE BYJUNE 15
JUNE_____
DUE BYJULY 15
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the May “Family of the Month” for Council _____________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
Date / / The family of Brother __________________________________________________(Member’s Name – Please Print)
has been selected as the June “Family of the Month” for Council _____________________________(Number)
in _________________________________________________________________________________ .(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month” contest.
On the reverse side of this report form we have listed the nominee’s qualifications.
The names of the family members are listed below.
Member: _____________________________ _________________________Membership Number
Spouse: ________________________________
Children /Ages: Children /Ages:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Home Address:____________________________________________________________________________________
____________________________________________________________________________________
Signed: _____________________________________________________________________________Grand Knight
Councils may wish to retain a copy of this completed form for their files.
FAMILYof the
MONTH
FAMILYof the
MONTH
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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Our council’s “Family of the Month” was selected for the following reasons:_____________________________________________________________________________________________________
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FAMILY OF THE MONTHOn the fifteenth day of each month — from August through July — 100 “Family of the Month” reporting forms will bedrawn at random from among all entries received at the Supreme Council office for the previous month. Each of the100 families selected will receive a beautiful Holy Family gift along with a letter of congratulations from SupremeKnight Carl A. Anderson. The following factors should be considered in the search for the “Family of the Month:”
• Has the family made significant contributions to the Church, community and/or council?• Does the family enjoy one another?• Does the family share experiences?• Does the family communicate openly and honestly?• Does the family pray and attend Mass together?• Does the family spend its time together interacting instead of in front of the television set?
The family of Brother: ___________________________________________(Member’s Name – Please Print)
has been selected as “Family of the Month” for Council: ______________
in ___________________________________________(City – State or Province)
Please enter our nominee in the Supreme Council “Family of the Month”
Contest. We have listed the nominee’s qualifications below.
The names of the family members are:
Member: _______________________________________
Membership Number: __________________________
Spouse: ______________________________________
Children/Ages:
_______________________________ ______________________________
_______________________________ ______________________________
_______________________________ ______________________________
Home Address:
______________________________________________________________
______________________________________________________________
Our Council’s “Family of the Month” was selected for the following reasons:
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Grand Knight: _________________________________________________
FAX TO: Supreme Council Department of Fraternal Services (203) 752-4108SEND COPIES TO: State Deputy, District Deputy, Council File 1993A 11/10 15
Clip and return to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to (203) 752-4108
100 FAMILIES WILL BE DRAWN EACH MONTH FROM THE FORMS RECEIVED AND PRESENTED WITH A
BEAUTIFUL HOLY FAMILY GIFT COMPLIMENTS OF THE BOARD OF DIRECTORS
SELECT ONE
� JULYDue August 15
� AUGUSTDue September 15
� SEPTEMBERDue October 15
� OCTOBERDue November 15
� NOVEMBERDue December 15
� DECEMBERDue January 15
� JANUARYDue February 15
� FEBRUARYDue March 15
� MARCHDue April 15
� APRILDue May 15
� MAYDue June 15
� JUNEDue July 15
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Entry Form
Jurisdiction: ___________________________________________________ Date: _________________
InstructionsLocal Councils: To enter your “Family of the Year” into state/provincial competition, com-plete this form and forward it to the state deputy. Additional paper may be used if space allo-cated is not sufficient. Photographs, news clippings, letters of commendation or other specialexhibits may be included. Note: individual jurisdictions set their own deadlines forstate/provincial competitions, so watch for deadline dates or contact the state deputy.
State Council: Select one entry to honor as state/provincial “Family of the Year.” Submit that entryform, with the state deputy’s signature and all collateral material, to the Supreme CouncilDepartment of Fraternal Services by June 1 for consideration in the International “Family of theYear” competition.
A. Personal DataMember’s Name: ___________________________________________ __________________________
Membership Number
Wife’s Name: ______________________________________________
Children/Ages: Children/Ages:
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
Home Address: ____________________________________________
Home Telephone: _________________________ Business Telephone: _________________________
Parish: __________________________________ Pastor: _____________________________________
Address: _______________________________________________________________________________
Telephone: _____________________________________________________________________________
B. Knights of Columbus DataFamily nominated by Council ________________________ in __________________________________
(Number) (Location)
For how many years has husband/father been a member of the Knights of Columbus?
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Positions (offices/program directorships/chairmanships/committee assignments) held:
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REFER TO THE “FAMILY OF THE YEAR” SELECTION GUIDELINES ON PAGE 2. CONTACT YOUR
STATE COUNCIL OFFICE OR STATE PROGRAM DIRECTOR TO DETERMINE THE
DEADLINE FOR ENTERING THE STATE COUNCIL CONTEST.
FAMILYof theYEAR
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Explain the entire family’s involvement within the Knights of Columbus: _______________________
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C. Family Involvement
Explain the entire family’s involvement within the Church: ___________________________________
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Explain the entire family’s involvement within the community: _______________________________
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Explain why this family was chosen as the “model” family in your jurisdiction. Why does this familydeserve the distinction of being named “Knights of Columbus Family of the Year”?
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For State Council Use Only:This family has been chosen state/provincial “Family of the Year.”
Attest: _________________________________________________________________________________(State Deputy)
NOTE: Submit winning entry to Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326.All entries must reach the Supreme Council office by June 10 to qualify.
FAMILYof theYEAR
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We Would Appreciate Your Comments
Do you have any comments or suggestions concerning the “Family of the Month” program? Or any programming ideas for the familyactivities section of the “Surge . . . With Service” Program Manual #962? If so, please list them here and mail this page to the SupremeCouncil Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to: (203) 752-4108.
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Signed: ________________________________________________________________________________________________________________(Name and Title)
Mailing Address: ______________________________________________________________________________________________________
City: ___________________________________________ State/Province: ____________________________________ Code: ______________
Council Number: ______________________________________________________________________________________________________
Use this page to forward any questions or comments regarding the “Family of the Month” program to: Supreme Council Department
of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326, or Fax to: (203) 752-4108