Westport Odd Fellow 681 Interest of Joining Form
This is only an interest form, Not a petition. This alerts us to your desire to join.
Name
*
First Name
Last Name
Please Select Your Gender
*
Please Select
Male
Female
I Prefer Not to Say
Other
Email
*
example@example.com
May we email you?
*
Please Select
Yes
No
Only for Requested Items
We will not send any spam or give away your information.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
May we send you mail?
*
Please Select
Yes
No
Only for Requested Items
We will not send any spam or give away your information.
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
May we Call or Text You?
*
Please Select
Yes
No
We will not send any spam or give away your information. Service rates may apply.
Birthday
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Please Enter Your Birthday
How Old Are you?
*
This is Just for Rapid Information Gathering
Was anyone in your family an Odd Fellow?
*
Yes
No
I believe in a Supreme Being
*
Yes
No
Westport Lodge 681 meets the First and Third Thursday of Every Month. I can...
make all the meetings
make most of the meetings
make some of the meetings
make a meeting occansionly
What interests you in the Independent Order of Odd Fellows?
How do you think you could help the Odd Fellows grow?
(I.E., Skills, Ways to Help, etc...)
At this time, does any of the following currently interest you
Encampment
Canton/Patriarch's Militant
Order of the Muscovites
I request an in-person meeting to learn more about the Odd Fellows of Westport Lodge #681
*
Please Select
Yes, I want to meet and person to learn more
Yes, I want to meet but to get a petition in person
No, I don't require a meeting, I know I want to be an Odd Fellow
No, I don't believe I can currently meet in-person but would appreciate an informative phone call
Do you belong to any other Fraternities or Civic Groups?
Freemason/Eastern Star
Elks
Moose
Eagle
Knights of Columbus
Knights of St. John
Lion's Club
Rotary Club
Optimist Club
Civil Air Patrol
Indiana Guard Reserve (Not the National Guard)
other (see box below)
List other membership in Fraternal or Civic Group
I acknowledge that all information I have provided is true to my knowledge and untrue information my lead to your inability to join or removal of the organization after joining.
*
Yes, All the information I have provided is true to the best of my knowledge
Submit
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