Purpose:
Our independent club purpose is based on Harmony Kingdom, education, and fun:
_____Yes _____ No
Independent Club Identification:
| Independent Club Name: |
___________________________________ |
| Independent Club Address: |
___________________________________ |
|
___________________________________ |
|
___________________________________ |
Independent Club Officers and Contact Information:
| President: |
________________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
_____________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
__________________________________________ |
| Vice President: |
___________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
___________________________________________ |
| Secretary: |
_______________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
___________________________________________ |
| Treasurer: |
_______________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
___________________________________________ |
The HK House of Peers Delegate will receive communications from HOP and Harmony Kingdom as well as additional duties and responsibilities. This Delegate may be an existing officer.
| HOP Delegate: |
___________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
___________________________________________ |
An alternate HOP Delegate should be selected. This alternate will receive all notices as sent to the HOP Delegate and acts only in the absence of the HOP Delegate.
| Alternate HOP Delegate: |
___________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
___________________________________________ |
Other Positions: (include Newsletter Editor, Membership Chairman, etc.) Use additional sheets as necessary.
| Position: |
_________________________________________________ |
| Name: |
___________________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Day Phone: |
____________________ |
| Eve Phone: |
____________________ |
| Email Address: |
___________________________________________ |
Independent club donations from Harmony Kingdom should be mailed to the following address:
| Name: |
____________________________________________________ |
| Address: |
__________________________________________________ |
| City, State, Zip: |
___________________________________________ |
| Email Address: |
___________________________________________ |
Memberships and Meetings:
Our club will adhere to the Harmony Kingdom Authorized Independent Club Guidelines:
_____Yes _____ No
Our club will hold at least four (4)
meetings a year:
_____Yes _____ No
We will maintain a minimum membership of
twenty-five (25) members:
_____Yes _____ No
Mission Statement:
| Our independent club mission statement is: |
______________________ |
___________________________________________________________ |
___________________________________________________________ |
___________________________________________________________ |
___________________________________________________________ |
Charity:
Our independent club has selected a charity to support:
_____Yes _____ No
| Our independent club supports the following charity: |
_______________ |
___________________________________________________________ |
___________________________________________________________ |
Newsletter:
Our independent club produces a newsletter:
_____Yes _____ No
| The name of our newsletter is: |
________________________________ |
And is published: _____ Monthly _____ Bi-Monthly _____ Quarterly
Newsletter copies will be automatically forwarded to Harmony Ball Company (Attn: Marketing Department), 232 Neilston Street, Columbus, OH 43215:
_____Yes _____ No
Trademarks and Copyright Rules:
Our independent club will abide by all Harmony Kingdom trademark and copyright rules:
_____Yes _____ No
Bylaws:
Our independent club has adopted bylaws:
_____Yes _____ No
A copy will be forwarded to the HK House of Peers (Attn: HOP Secretary), 4532 Shoal Creek Court, Alexandria, VA 22312:
_____ Yes _____ No
Other:
Our local chapter is interested in the following:
_____ Having a speaker attend a meeting
_____ Participating in a National Convention
_____ Assisting at a trade show
| _____
Please list other ideas: |
__________________________________ |
___________________________________________________________ |
___________________________________________________________ |
___________________________________________________________ |
___________________________________________________________ |
___________________________________________________________ |
We have supplied and reviewed the following information and verify that it is correct and true.
_________________________________
President |
____________________
Date |
Harmony Kingdom Authorized Independent Club Application:
|
Authorized / Rescinded
|
_________________________________
Harmony Kingdom Representative |
____________________
Date |
All applicants will be notified by the HK House of Peers within three (3) weeks from receipt of a completed Application, if approved or denied Authorized Independent Club status.
Please submit the completed Application, or request an Application by mail to/from:
HK HOUSE OF PEERS
HOP SECRETARY
4532 SHOAL CREEK CT
ALEXANDRIA VA 22312-3166
INDEPENDENT CLUB GUIDELINES
INDEPENDENT CLUB APPLICATION - NOTICE OF INTENT
INDEPENDENT CLUB APPLICATION
INDEPENDENT CLUB INFORMATION |