INDEPENDENT ORDER OF ODD FELLOWS
MEMBERSHIP APPLICATION
For Odd Fellow or Rebekah Lodges

Date:___________________

To the officers and Members of __________________ working under the jurisdiction of The Grand Lodge and Rebekah Assembly of the Independent order of Odd Fellows of Montana. I respectfully request admission into your Lodge by initiation: If "Application" by card.

From    Lodge #_______________________________        
And in consideration of such admission, I promise and agree that if elected, I will conform to the Constitution and By-Laws of your Lodge and those of the Grand Lodge or Rebekah Assembly of Montana and that I will seek my remedy for all right on account of said membership or therewith in the tribunal of the Order only, without resorting to their enforcement in any event, or for any purpose, to the civil courts. I believe in a Supreme Being, the Creator and Preserver of the Universe and I am loyal to my country,

I was born at_____________ on the__________ day of______________ , _____________.

My occupation is __________ My health is _________________________

Any willful misrepresentation in the above statement shall work a forfeiture of all benefits under the By-Laws of this Lodge.

    Reference Applicant      

INTERVIEWING COMMITTEE

_____________________________________________________________________________

________________________________________________________

________________________________________________________

We certify that this applicant meets all membership
requirements of the Independent Order of Odd
Fellows and of this Jurisdiction

Authorized by the Sovereign Grand Lodge;