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New Active Member Application

$55.00

Active New Member

  • IDENTIFICATION

  • Date Format: MM slash DD slash YYYY
  • A valid email address is needed to have an account on your F.O.P. Lodge #3 Website.
  • Date Format: MM slash DD slash YYYY
  • EMPLOYMENT

  • ACKNOWLEDGEMENT

  • Provide First & Last Name
  • Provide First & Last Name
  • I CERTIFY THAT THE ABOVE ANSWERS ARE TRUE AND CORRECT. I UNDERSTAND THAT MEMBERSHIP IS SUBJECT TO A BACKGROUND INVESTIGATION AND FINAL MEMBERSHIP APPROVAL IS BY FINAL DECISION OF THE BOARD OF DIRECTORS.
    I ALSO UNDERSTAND THAT MEMBERSHIP APPLICATION FEES ARE NON-REFUNDABLE.
  • Use a touch device or mouse to sign.
  • Date Format: MM slash DD slash YYYY
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