Page 25 - 2019 Ladies Conference Guide
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Top Ladies of Distinction, Inc.®®
                         Syn-Lod Conference Guide

                   June 26 - July 2, 2019 | Atlanta, GA

Memorial Roll Call Form

Please complete and mail and/or email to the National Chaplain. Please print and duplicate, if
necessary.

Please send to: 	  Lady Pamela Bates Porch - National Chaplain
			                1407 West 73rd Street
			Chicago, Illinois 60636-4005
			pamp330@aol.com.

Deadline Date: June 1, 2019

Chapter President: ___________________________	  Area: _________________________

Email Address: ______________________________	 Phone: ________________________

Area Director: __________________________________________________________________

									(Circle One Per entry)
1. Name: _________________________________________ 	 Lady	 Lord	 Teen

2. Name: _________________________________________ 	 Lady	 Lord	 Teen

3. Name: _________________________________________ 	 Lady	 Lord	 Teen

4. Name: _________________________________________ 	 Lady	 Lord	 Teen

5. Name: _________________________________________ 	 Lady	 Lord	 Teen

Chapter President Signature: _____________________________	 Date ______________

                                              For Office Use, Only
Date Received: ________________________________	 Initialed: ______________________

                     **You will receive an Email confirmation once it is received.**

Investing in V.A.L.U.E.S. that Support, Enhance, and Sustain                                    25
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