Sign up a New Member for GMP Bettie Williams - Fraternal Order of Eagles
New Applicant
APPLICATION FOR AUXILIARY MEMBERSHIP
Re-Enrollment
1.
Name______________________________________________________
2. Date of Birth________________ Age_____
3. Residence Address_________________________________________________
City____________________ State/Prov.__________________________
ZIP______________ Telephone_____________________
Mailing Address (if different)____________________________________________
IF YOU HAVE EVER BEEN A MEMBER OF THIS ORDER BEFORE, THE FOLLOWING
QUESTIONS MUST BE ANSWERED:
4. I formerly belonged to Auxiliary No.____ City___________ State/Prov._____
5. The reason for terminating my membership
was_____________________________
6. Have you ever applied for membership and were rejected? If yes,
where?_________
7. Do you have male affiliation in the Fraternal Order of Eagles? Yes___ No
___
If yes, Name_________________ Relationship______________ Aerie No.______
Having formed a favorable
impression of your Auxiliary, I, being of sound body and mind, over
eighteen years of age, believing in God, herewith present myself as a
candidate for membership and if accepted, I promise to abide by and obey
the Laws, Rules and Regulations of the Fraternal Order of Eagles. I
declare that I have not been rejected by an instituted Auxiliary within
the past six months, nor do I stand suspended by an Auxiliary of the
Fraternal Order of Eagles. I agree that my answers to the questions are
true and are without any omissions. It is further agreed that in the
event of my failure to pay my dues to the Order on or before date due,
all benefits hereunder shall cease according to the Rules and
Regulations of the Fraternal Order of Eagles, and the local Auxiliary
By-Laws. Funeral benefits requirements are that you must be initiated
before passing your fifty-fifth birthday, and the benefits are not
effective until twelve months following initiation.
I understand that if I do not appear for initiation within
six months after my election to membership, my initiation fee will be
forfeited and my application for membership cancelled. The initiation
fee must be sent in to Grand Aerie immediately.
I fully agree that the Auxiliary shall not be required to pay
me any benefits unless approved by the Grand Aerie and by the local
Auxiliary By-Laws.
Applicant’s
Signature______________________________________________
Date_______________
First Proposer:
Auxiliary No.______
Name__________________________
Grand Aerie I.D. No.______________
Address________________________
City____________________________
State/Prov.___________ ZIP_______
Second Proposer:
Auxiliary No._____
Name_________________________
Address________________________
City____________________________
State/Prov.___________ ZIP_______
TO BE FILLED IN BY
SECRETARY
Application
No._______________ In Auxiliary No.______ Fraternal Order of
Eagles
Amount Paid_________ Official Receipt No.________
Date Reported to G.A. Membership Dept.: Month_____ Day_____
Year_____
APPLICATION APPROVED FOR
Beneficial or
Non-Beneficial
Membership
Application Submitted___________________
Elected to Membership__________________
Date Initiated__________________________
Secretary_____________________________
We, your Committee, have interviewed the
above-named applicant and recommend that she be
Accepted
Rejected
Re-Enrolled
for membership in this Order
FRATERNAL ORDER OF EAGLES Auxiliary Initiation
Fee Receipt
Received from__________________________
Amount Received $___________
In payment of Initiation Fee in Auxiliary No.____
Received by____________________________
Signature of Sponsor__________________________________ Date
_______ Detach and give this portion to
Applicant