MEMBERSHIP APPLICATION

Independent Order of the Odd Fellows of the Jurisdiction of Massachusetts
Dated _____________________, 20____
Application Fee _________________
I, _____________________________________________________:
(Name - Please Print)
apply to the members of ______________________________ No. ________ of the Independent Order of Odd Fellows of the Jurisdiction of Massachusetts; for memberhip by: [ (cirlce one) Initiation - Transfer - Card ] and agree to abide by the rules, regulations and teachings of the Order. I understand my rights as a member are protected by the laws of the Order and agree NOT to resort to civil courts for their enforcement. I believe in a Supreme Being and am loyal to my country.
I was born at __________________________ on
(city / town / state)
the _____ day of _____________, _______
        day                       month              year
My Occupation is ______________________

Employer ____________________________

Residence ____________________________

Mailing Address _______________________

Telephone ____________________________

Spouse ______________________________		 Three Links

Applicant's Signature _______________
Sponsor:_____________________________
(Name)          (Lodge, Encampment, Auxiliary, Canton - Name & Number)
We certify that the applicant meets the qualifications for
membership in this lodge.
         Interviewing Committee

_________________________

_________________________

_________________________


Application processed ________



I certify that __________
is a member of __________Degree
in good standing in _______ No. _____


Attest:______________
(Secretary/Scribe)
Application Voted_____________


 [seal]
Print this form, fill it out, and send it to the local Lodge.
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