Canadian Royal Purple Membership Form

CANADIAN ROYAL PURPLE
Membership (Class A) Application Form Original copy to be sent to the National Office.
Date

MonthDayYear
Date
Province
First Last Name Print
Address
City
Prov
PC
Phone
Email
example@example.com
Qualifications: A resident of Canada who has attained the age of 14 years, paid the membership fee and who supports democratic and lawful government and the purposes and objectives of the Canadian Royal Purple Society.

I, the undersigned, hereby make application for membership in the Canadian Royal Purple Society: I, as a member, agree to receive notices and official communication electronically.
Signature

Clear
Date Initiated

MonthDayYear
Date
Lodge Name if applicable
Approved by the National Board of Directors:
Date

MonthDayYear
Date
Signed

Clear
Please E-transfer or mail to the addresses below.

Canadian Royal Purple Society IPO Box 370, Beechy, SK SOL OCO P: (306) 222-3922 I E: canadianroyalpurple@gmail.com Feb 2024
Should be Empty:

CANADIAN ROYAL PURPLE