Application for Membership in the Noble Order of Muscovites
Last Name *
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First Name *
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Place of Birth *
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Date of Birth *
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Home Address *
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City *
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Country *
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State (If you are USAdian)
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Province (If you are Canadian)
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Zip/Postal Code *
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E-mail Address *
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Phone Number *
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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. *
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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.) *
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Name of Fraternal Organization *
If Other, Please specify
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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. *
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