Washington State Knights of Columbus Knights on Bikes Membership Application Name(Required) First Middle Initial Last Spouse Name (Optional) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone #Cell Phone #(Required)Email(Required) Diocese Name(Required) Parish Name(Required) KofC Council Number(Required) Current Grand Knight(Required) Are you a 4th degree member?(Required) Yes No Assembly #(Required) Do you own a motorcycle?(Required) Yes No Do you have an endorsement?(Required) Yes No Are you in good standing with your parish and council?(Required) Yes No Signature(Required) Reset signature Signature locked. Reset to sign again Date
