CCDIIS Charter Member Nomination
Required Required Question(s)
Required 1.
Name of person/persons being nominated for Charter Membership.
 

  • 350 characters left.
Required 2.
Credentials for membership: 1) How was nominee influenced by the Clayts and or a current member 2) How is nominee carrying on the Immortality of Influence
 

  • 500 characters left.
Required 3.
Sponsoring CCDIIS Founding Member Information.
First Name:
Middle Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code: