Roster Form Annual Roster Submission Email Address of Person Submitting This Form * If you are experiencing difficulty with this form, please email S.K. Seth Anthony or S.K. Richard Muth. (Their email addresses are available via the Roster.) Section Name of Person Submitting This Form * Commandery Name and Number (Please Select) * Select Your Commandery from the list. Pittsburgh No. 1 Jacques DeMolay No. 3 St. John's No. 4 St. Omer's No. 7 St. John's No. 8 Reading No. 9 Mountain No. 10 Pilgrim No. 11 Crusade No. 12 Lancaster No. 13 Palestine No. 14 Northern No. 16 Melita-Coeur DeLion No. 17 Kedron No. 18 Hugh DePayens No. 19 Allen-Beauceant No. 20 York-Gethsemane No. 21 Baldwin II No. 22 Packer No. 23 Hermit No. 24 Lewistown No. 26 St. Andrews No. 27 Mt. Olivet No. 30 Constans No. 33 Allegheny No. 35 Mary No. 36 Calvary No. 37 Prince of Peace No. 39 Constantine No. 41 Franklin No. 44 Dieu LeVeut No. 45 Hospitaller No. 46 St. Alban No. 47 Kensington-Kadosh No. 54 Centennial No. 55 Continental No. 56 Trinity No. 58 Oriental No. 61 Warren No. 63 Huntingdon No. 65 Mt. Calvary No. 67 Potter No. 69 Nativity No. 71 Duquesne No. 72 Shamokin No. 77 Chartiers No. 78 Gettysburg No. 79 McKean No. 80 Samuel S. Yohe No. 81 Beaver Valley No. 84 Mt. Hermon No. 85 Lorraine No. 87 Savona No. 89 Damascus No. 95 Mizpah No. 96 Bethel No. 98 Holyrood No. 100 What is the date of constitution of your Commandery? (MM/DD/YYYY) Address of the Meeting Location of the Commandery * Address of the Meeting Location of the Commandery Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone Number for the Place of Meeting of the Commandery (if available) On what day and time does your Commandery meet? (EXAMPLES: 4th Tues. OR 1st Mon. 7:00 p.m. OR 3rd Thurs. Mar Apr June Oct Dec) * Incoming Commander's Name * If the Commander has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.P.G.C. (Right Eminent Past Grand Commander) OtherOther Name of the Commander's Spouse (if applicable) Full Mailing Address of the Commander * Full Mailing Address of the Commander Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Commander's Phone Number * Commander Alternate Phone Number (Cell, Work, etc.) Please indicate what type of phone number this is. Work Cell OtherOther Commander's Email Address Incoming Generalissimo's Name * If the Generalissimo has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.P.G.C. (Right Eminent Past Grand Commander) OtherOther Name of the Generalissimo's Spouse (if applicable) Generalissimo's Full Mailing Address Generalissimo's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Generalissimo's Phone Number * Generalissmo's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Generalissimo's Email Address Incoming Captain General's Name * If the Captain General has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.G.P.C. (Right Eminent Past Grand Commander) OtherOther Name of the Captain General's Spouse (if applicable) Captain General's Full Mailing Address * Captain General's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Captain General's Phone Number * Captain General's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Captain General's Email Address Incoming Recorder's Name (if you have a Recorder / Treasurer, please use the Recorder section to supply information and check the box below.) * Does your Recorder also serve as Treasurer? * Yes, we have a Recorder / Treasurer. No, we have one Sir Knight who serves as Recorder and another Sir Knight who serves as Treasurer. If the Recorder has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.G.P.C. (Right Eminent Past Grand Commander) OtherOther Name of Recorder's Spouse (if applicable) Recorder's Full Mailing Address Recorder's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Recorder's Phone Number * Recorder's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Recorder's Email Address Incoming Treasurer's Name * If the Treasurer has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.P.G.C. (Right Eminent Past Grand Commander) OtherOther Name of Treasurer's Spouse (if applicable) Treasurer's Full Mailing Address Treasurer's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Treasurer's Phone Number Treasurer's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Treasurer's Email Address Please provide a list of Past Commanders who should be removed since your last Roster Report (such as deceased, suspended, demitted, etc.) (If none, state "none.") * Please provide a list of Living Past Commanders who should be added since your last Roster Report. (If none, state "none.") Added Past Commanders should have the year(s) installed included after their name, without a comma before the first two-digit year. Examples: John A. Doe 19 J. Robert Smith 14,19 * If you are human, leave this field blank. Submit