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Sign My CNC

Instructions: Please print this form, print your name on the top line of the form and sign and date the bottom of the form. Once completed, upload your completed attestation at the end of this form.

I, ___________________________________, hereby attest that I completed my 2016 Certificate of Change or a Certificate of No Change (CNC) online and that my signature herein affirms such submission.  I attest that the information on my 2016 CNC is true, accurate and complete to the best of my knowledge. I understand that any falsification, omission, or concealment of material fact may violate the DeMolay International By-laws or the DeMolay International Rules & Regulations.

Signature __________________________ Date_________________

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