Grange Legacy Family Application

Guidelines

1. Deadline is the September 1, 2025. Any entry received after deadline will not be recognized in that year.

2. Must have at least 5 generations of Grange members, including Junior Grange members

3. Anyone can nominate a legacy family

4. Families will be recognized at the upcoming National Convention.
Family Last Name*
State*

Street Address

Street Address Line 2

CityState

Zip Code
1st Generation Name(s) *
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number*
2nd Generation Name(s)*
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number*
3rd Generation Name(s)*
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number*
4th Generation Name(s)*
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number*
5th Generation Name(s)*
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number*
6th Generation Name(s)
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number
7th Generation Name(s)
separate names by commas, include number of years they were/have been members, if possible
Name of Grange and Number
Submitter's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Include a Photo of the Family/Family Members

Upload a File
Photo will become property of National Grange, and may be used in future publications. Cancelof
How many copies of certificate will be needed?*
The family will receive the number of copies submitted, no additional copies will be made.
Should be Empty: