Mystic Krewe of Majesty Reenrollment Application

Mystic Krewe of Majesty Member Reenrollment Application 2024/2025
Member's Name*

First NameLast Name
Co-Member's Name*

First NameLast Name
Referred by

First NameLast Name
Member's E-mail*
Co-Member's E-mail*
example@example.com
Member's Phone Number:*

Area CodePhone Number
Co-Member's Phone Number:*

Area CodePhone Number
Address of Primary Member:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you interested in becoming Royalty during this upcoming season?

King or QueenRoyal Court (Maid or Duke)Not at this time
Preferred Method of Communication

FacebookEmailText Program such as Group-MeAll of the Above
Payment Options (you can Venmo payments to @mystickrewe-oferos). For other payment methods, please email the Krewe email at mystickreweofmajesty@gmail.com.*

I plan to pay my dues in full prior to June 1, 2024.I will pay in increments, but understand my dues needs to be paid by June 1, 2024. Please contact me to arrange payment plan.
Thank you for your patronage to the Mystic Krewe of Majesty! We look forward to celebrating a fantastic year with you.
Primary Member's Signature Required*

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Mystic Krewe of Majesty Member Reenrollment Application 2024/2025