2024 New, Reinstatement, Transfer Membership Form

Check One Box*

New MemberReinstatementTransfer from Another Lodge

New Member Dues Information:

New members who join following the October 2024 Membership Meeting pay $50 dues and $20 initiation fees ($70 total), which covers the following calendar year (January 2025 through December 2025). Note: These members will not be approved by the Maryland Grand Lodge until January 2025.

New members who join between January 1, 2025 and July 1, 2025 will pay $50 dues and $20 initiation fees ($70 total), which covers your dues through December 2025.

New members who join after July 1, 2025 through October 24, 2025 will pay $25 dues and $20 initiation fees ($45), which cover your dues through December 2025.

Member Reinstatement Dues Information: Please fill out the remainder of this form. After Lodge #2225 has verified you are past member, we can process your transfer and collect your Member Dues.

Members who are reinstated between January 1, 2025 and July 1, 2025 will pay $50 dues, which covers your dues through December 2025.
Members who are reinstated after July 1, 2025 through October 24, 2025 will pay $25 dues, which cover your dues through December 2025.
Members who are reinstated following the October 2024 Membership Meeting pay $50 dues, which covers the following calendar year (January 2025 through December 2025).

Enter Which Lodge you Are Transferring From. For Instance, From Lodge #1111*

Location of Former Lodge*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are your dues currently paid for the most recent dues year at your current Lodge?*

What year did you join your current Lodge, prior to this transfer request?*

First Name*

Last Name*

Italian Family Name*

Email Address*

Address*

City*

State*

Zip code*

Telephone*

Date of Birth*

Date

Occupation*

Relationship Status*

SingleMarriedWidowed

Sex*

MaleFemale

I understand that my application requires approval by the membership of Lodge 2225 and to be approved by the membership I must attend a monthly membership meeting (held on the last Tuesday of each month at 7:00 PM).*

I plan to attend a membership meetingI cannot attend a meeting but ask that the membership committee contact me

Active Involvement in the Lodge*

I plan to be active in Lodge activities and events to the extent I am able.

Dues Period*

I understand the Dues Period covers from the date I pay my dues until the end of the calendar year (December 2025)

I certify that the above information is true and correct to the best of my knowledge and belief.*

YES

New Member Fee (full year) Product Image

New Member Fee (full year)Membership Fee (July 2024-December 2024)

$70.00 Quantity

Reinstatement Member Fee (full year) Product Image

Reinstatement Member Fee (full year)Membership Reinstatement Fee (July 2024-December 2024)

$50.00 Quantity

Member Transfer FeePlease select this option if you are transferring from another Maryland Lodge

$ Free Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay

Annapolis OSDIA Lodge #2225 Membership Form

Transferring from Another Lodge

Member Information

Membership Payment Kiosk

Payment Methods