Application for status as an Affiliate Lodge, Companions of the Glyph.

 

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NAME OF PERSON FILLING OUT FORM___________________________________DATE OF BIRTH_______

CURRENT CONTACT ADDRESS:________________________________________________________________

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CONTACT PHONE NUMBERS (AT LEAST 2)______________________________________________________

EMAIL ADDRESSES____________________________________________________________________________

WEBSITE ADDRESS(ES)_________________________________________________________________________

LIST ALL CURRENT MEMBERS OF THE LODGE AND THEIR FUNCTIONS/TITLES. BE AWARE THAT FEDERAL AND STATE CORPORATE LAWS OFTEN REQUIRE THAT ORGANIZATIONS HAVE AT LEAST A SECRETARY(SCRIBE), A TREASURER(PURSEWARDEN) AND A CHIEF EXECUTIVE OFFICER.

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2.________________________________________________________

3.________________________________________________________

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5.________________________________________________________

6.________________________________________________________

(LIST ANY OTHERS ON A SEPARATE SHEET AND ATTACH.)

IN A SEPARATE DOCUMENT, GIVE AN IN-DEPTH HISTORY OF THE PROJECT THUS FAR. INCLUDE BASIC INFORMATION ON THE NATURE OF THE RELIGIOUS BELIEFS EMPLOYED, PRACTICES, METHODS AND ORGANIZATIONAL AFFILIATIONS THAT BEAR DIRECTLY ON YOUR GLYPH PROJECT. STAPLE IT TO THIS APPLICATION AND MAIL THIS SHEAF ALONG WITH THE APPLICATION FEE OF $50. SEND THIS TO ADDRESS IS POB 40972, EUGENE, OR 97404. CASH, CHECK AND MONEY ORDERS ARE AT THIS TIME ACCEPTED, IF MADE OUT TO DANAE DENBY-SPENCER.

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[to the Statement of Commitment]

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