Request for DDGM Confirmation of Election Please prepare and send a DDGM Certificate of Election (Form 195) Annual Communication Date Annual Communication Location District Select District Alpha (1) Athabasca (14) Battle Creek (5) Beaver Hills (15) Calgary-Highwood (6) Central (4) Chinookarch (7) Dinosaur (12) Lakeland (9) Mighty Peace (11) Northern Lights (10) Palliser (2) Phoenix (13) Yellowhead (3) Lodge Name Lodge Number First Name of Candidate Last Name of Candidate Certificate Required by - Date Certificate Requested by - Name Certificate Requested by - Email Special Instructions Ship to - Street Ship to - City Ship to - Province Ship to - Postal Code Send
