Samuel Clemens Chapter On-Line Upgrade Page

Samuel Clemens Chapter

K.A.C. Electronic Upgrade Application


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This form is to be used for K.A.C. upgrades only!
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Name: First> Last>
Address >
City > State >
Country > Zip >

10-10 # > Exp Date - MM/YY>


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Upgrade Date Callsign KAC Certif #
SEALS COLLECTED:
Court Joust B-Knight Quest 1K Seals
Previous #
New #
Point Val X 1 X 1 X 1
Points
Seals Total
POINTS COLLECTED:
Specials: Total Ctx
The Court + 10 Points Collected
The Joust + 15 Previous Points
Black Knight + 25 Total Points
100 Court +25 Points Banked
100 Joust +25 Points / 300
# Boss's worked Seals Total
# Merlins Worked Specials Total
Points this UG
Your Old Pts
Your New Pts
Specials Tot New Pts Banked

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Email > Publish in chapter database? YesNo
Your website > Publish in chapter database? YesNo


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