Request for Potentate's Official Visit

Request a special visit or schedule an "Official Visit" with the Divan included, please utilize this request form. Review the online calendar for any conflicts. All the potentate's meetings and visitations are in RED.

All * fields are required. Data will be submitted to Chief Rabban and his Chief Aide. Once confirmed, you will receive an email confirmation and the date will be added to the calendar. Again, all fields must be filled in.

Suggested Dates. Please suggest two possible dates for the visit and we will confirm via email.
Club, Unit or Organization Name *
Contact Name *
Phone Number *
Contact's eMail *
First Suggested Date
Second Suggested Date
Event Details Time to Arrive : Time the Event Starts? : Is there a meal served? Event Location Address of the Event City State / Province / Region Zipcode Type of Event. Stated Meeting, Installation of Officers,Fund Raiser, Public Information address, etc * Dress Code & Guest Information Dress Code Attire Are Ladies welcome at this event? * Do you want the Divan officers and other appointees included? * Additional Information Additional comments that need to be known to all attending. *

Type the above number:

Request for Potentate's Official Visit

Suggested Dates.

Event Details

Event Location

Dress Code & Guest Information

Additional Information