Membership Update

Please complete this form as complete as possible, this will allow the lodge to update our records and to improve the operations of the lodge. This will also help us in the selection of various honors in the lodge where date of honors are required.  "ALL PERSONAL INFORMATION WILL BE PROTECTED AND WILL BE STRICTLY USED FOR LODGE RECORDS"

Please provide the following contact information:

 Full Name    Type Unit Number
Address     City 
State Zip Code
Home Phone  
Sex  Date of Birth
E-mail
Position in the Order of the Arrow                                                                                

Youth under 21  Adult over 21

Date of Ordeal   

Place of Ordeal                                    

Date of Brotherhood   

Place of Brotherhood                                     

Date of Vigil   

Place of Vigil                                    

Vigil Name 

English Translation 

 
Robert A. Church
Copyright © 2003 [Tindeuchen Lodge]. All rights reserved.
Revised: 08/15/08