<p> STATE LADIES AUXILIARY REGISTRATION FORM PLEASE PRINT ALL INFORMATION</p><p>Date ______</p><p>AUXILIARY INFORMATION</p><p>AUXILIARY NAME: ______</p><p>IF NEWLY FORMED AUXILIARY PLEASE CHECK √ □</p><p>KC COUNCIL NAME: ______# ______</p><p>PARISH: ______</p><p>Address ______City:______Zip code______</p><p>Date Auxiliary formed? ___/____/____ # Charter members______Current # Members______</p><p>Auxiliary meeting Location ______Times______</p><p>PRESIDENT:______</p><p>Address:______PO BOX # ______</p><p>City ______Zip code ______- ______</p><p>Phone Home (_____)______Cell ( )______</p><p>E Mail Address______</p><p>LADIES AUXILIARY SECRETARY______</p><p>Address______PO BOX # ______</p><p>LET'S GROW AS A TEAM Revised SD July 17,2009 STATE LADIES AUXILIARY REGISTRATION FORM PLEASE PRINT ALL INFORMATION City ______Zip code______- ______</p><p>Phone Home (_____)______Cell (_____)______</p><p>E Mail Address______</p><p>Return copies to: Illinois State Council State Ladies Auxiliary Chairlady Office Manager Sandy Decker P.O. Box 681 3 So. 585 Haylett Ave. Kankakee, IL 60901 Warrenville, IL 60555-3224</p><p>LET'S GROW AS A TEAM Revised SD July 17,2009</p>