SYMPATHY CARD REPORT FORM

 

We the State Ladies Auxiliary Chairpersons would like to send a sympathy card to the family of a deceased Auxiliary member in the state membership’s name.  Please complete one of the report forms below (PLEASE PRINT) and mail promptly to:

 

Paul & Anne Stratman
962 County Road 521
Freeburg, MO 65035

Email: auxiliary@mokofc.org

 

 

DATE OF DEATH____________________________

 

Deceased Member__________________________________________________________

Auxiliary #____________________________________City___________________________

Send Card To:

Name_______________________________________________________________________

Address_________________________________________City________________Zip_______

DATE OF DEATH__________________________

 

Deceased Member_____________________________________________________________

Auxiliary #____________________________________City___________________________

Send Card To:

Name_______________________________________________________________________

Address_________________________________________City________________Zip_______

DATE OF DEATH___________________________

 

Deceased Member_____________________________________________________________

Auxiliary #____________________________________City___________________________

Send Card To:

Name_______________________________________________________________________

Address_________________________________________City________________Zip_______