MEMBERSHIP APPLICATION
Independent Order of the Odd Fellows
Dated ___________, 20___
I, ________________________________________:
                                 (Name - Please Print)		 Application Fee $_______
Apply to the members of ______________________________ No. ________ of the Independent Order of Odd Fellows of Pennsylvania; 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/Parent/Guardian_________________________		 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____________ Lodge No. _______

Attest:______________
(Secretary/Scribe)
Application Voted_____________

 [seal]
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