MIUGC Member Information
Greetings Companions, we are in the process of updating our membership database. Please fill out the form below to ensure that the Grand Council has your updated information.

Thank you
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電子郵件 *
First Name *
Middle Initial
Last Name *
Email *
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Mailing Address *
Council Name *
Council No. *
Zone
When were you Greeted? (please check your patent for your initiation date)
MM
/
DD
/
YYYY
Please list the current position you hold in your council if any.
If you are a PTIM, please provide year(s) served
Are you a DDGTIM?
If you are an Honorary PGTIM, please provide the year the honor was bestowed upon you.
If you are a PGTIM, please provide year(s) served
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