Application for Membership in the Noble Order of Muscovites

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Last Name *

First Name *

Place of Birth *

Date of Birth *

YYYY

Home Address *

City *

Country *

State (If you are USAdian)

Province (If you are Canadian)

Zip/Postal Code *

E-mail Address *

Phone Number *

In consideration for such admission, I promise and agree that, if elected, I will actively and regularly party, play and entertain, believing fully in my heart that the principles of fraternity, benevolence, and charity can all benefit from having a little fun. *

I agree

Required

I am a member in good standing of at least one fraternal/service organization. (Or I can sing, dance, act or play a musical instrument well enough to sucker the Czar into accepting me as a noble.) *

I agree

Required

Name of Fraternal Organization *

If Other, Please specify

The Noble Order of Muscovites (though traditionally linked to the Independent Order of Odd Fellows) accepts members of any frateral organization. I understand that it is my responsibilty to make sure that my home lodge does not restrict it's members from joining and participating in other fraternities. *

I understand and agree.

Required

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