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Forms

A single application form (#2863) must be filled out and returned to the Supreme Office to qualify for a refund and/or for an award plaque.

All applications should be submitted – with copies of canceled checks or other documentary evidence – between April 1 and June 30 to qualify during that fraternal year.

To access some of these forms, you will need Adobe Acrobat Reader (version 5.0 or higher). This a free download.

Title	Number	Print
Council Refund and Plaque Application	2863
Assembly Refund and Plaque Application	2863
Circle Refund and Plaque Application	2863