620 Park Avenue #311
Rochester NY 14607-2943
585-360-4512 local | 800-462-9498 toll-free 
585-486-6529 fax | e-mail

Integrity gives thanks for the generous support of the...

Arcus Foundation

Evelyn and Walter Haas, Jr. Fund

E. Rhodes and Leona B. Carpenter Foundation

Petition for Certification as a Chapter of Integrity Form

We, the undersigned, are dues-paid members in good standing of Integrity. Integrity was granted chapter-in-formation status on . We have at least 10 members.  We have met at least once in the past two months. We have adopted chapter bylaws in accordance with the national bylaws of Integrity and elected officers. We submitted a Annual Chapter Report this year.

We respectfully submit the attached chapter bylaws and formally request certification as a chapter of Integrity.

The date of this petition is:

Signatures of Officers Names Addresses
______________________________
Convener
______________________________
Treasurer
______________________________
Secretary

 

Complete this form, print it, and mail it to your regional vice president, the national secretary, and the Rochester address below.  Don't forget to attach your chapter bylaws!

Our mission is to be a witness of God's inclusive love to the Episcopal Church and the lesbian, gay, bisexual, and transgender community.


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