INDEPENDENT ORDER OF ODD FELLOWS
MEMBERSHIP APPLICATION
For Odd Fellow or Rebekah Lodges

Date:__________________________________

To the officers and Members of Covenant Lodge #6 of Missoula working under the jurisdiction of The Grand Lodge and Rebekah Assembly of the Independent order of Odd Fellows of Montana. I respectfully request admission into your Lodge by initiation: If "Application" by card.

From_____________________________________ Lodge #___________________
And in consideration of such admission, I promise and agree that if elected, I will conform to the Constitution and By-Laws of your Lodge and those of the Grand Lodge or Rebekah Assembly of Montana and that I will seek my remedy for all right on account of said membership or therewith in the tribunal of the Order only, without resorting to their enforcement in any event, or for any purpose, to the civil courts. I believe in a Supreme Being, the Creator and Preserver of the Universe and I am loyal to my country, I was born at:

____________________  on the___________ day of______________ . My occupation

is _____________________My health is_______________________Any willful

misrepresentation in the above statement shall work a forfeiture of all benefits under the By-Laws of this Lodge.

Print Name________________________

Signature__________________________

Mail Address______________________

City, State_________________________

Zip__________________ Phone_____________

INTERVIEWING COMMITTEE

We certify that this applicant meets all membership
requirements of the Independent Order of Odd
Fellows and of this Juridiction

Authorized by the Sovereign Grand Lodge; application for Missoula put together by George E. Hill PGM, June 2001