United Finnish Kaleva Brothers & Sisters


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New Member Application

 

Date _______________                                             Lodge #__________                                      

 

I hereby apply for membership in your Association, subject to conditions specified in your Constitution:

 

Name ___________________________________        Date of Birth_______________

 

Address _________________________________

City ______________________State _____ Zip ______

 

Phone Number (_____)________________ E-mail address_____________________

 

Occupation ________________  Present Employer ___________________________

 

Place of birth ___________  Finnish Connections or family history?_______________

 

__________________________________________________________________

 

Why do you wish to join our Lodge?________________________________________

 

Recommended by (Signatures of three (3) current members in good standing)

 

1. __________________________ 2. ________________________  

3. _____________________________

 

Are you willing to sign an Agreement with this Association, recognizing that you will not offer religious or political opinions or upset your duty to your family?  __________

 

Will you keep the secrets of the Association to yourself even after withdrawal or expulsion from the Lodge?  _______ (please initial here)

 

Name and address of an emergency contact

__________________________________________________________________

 

__________________________________________________________________

 

I hereby affirm and declare that the above answers are true and correct, and that I shall hold all these promises and obligations sacred.  But, if it should be proven that my above answers are not true facts, or that I have violated my pledge, I agree to forfeit all my rights to benefits together with all dues that I may have paid to this Association and the United Finnish Kaleva Brothers and Sisters shall have an uncontested right to expel me from its membership.

 

Dated at ______________________________,  ____________ (city & state),

this ______________day of _________

 

Signature of Applicant ________________________________________

 

Initiation fee-$5    Annual dues-$25