Tiffin Elks 94

*Full Name of the Elk who Proposed you:

*Your First Name:

*Your Last Name:

*Your Email Address:

*Your Phone Number:

*Your Birthday (MM/DD/YYYY):

Are you a citizen of the United States of America?
Yes

Do you believe in God and are you willing to attest to that belief?
Yes

*Your Address:

Address Line 2:

*City:

*State:

*Zip:

Full Name of Spouse:

I am willing to assume an obligation that:
(a) Will not conflict with my duties to myself, or my family, or my religious or political opinions, and that
(b) Will bind me to uphold the Constitution and laws of the United States of America.

I am not a member of and I am not directly or indirectly participating in the activities of any group or organization, or supporting or adhering to beliefs or tenets advocating the overthrow of the Government of the United States or any of its political subdivisions by force or violence.

I am aware that the annual dues are $125.00 per year. First year dues are prorated. The Elk year starts on April 1st. If you join in the month of September your prorated dues would be about $72.92 for example. February includes both prorated and the next lodge year dues.
Yes

Welcome to the Tiffin Elks!