Gold Trail Grange #452 Membership & Donation Form 2024

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Please use this form for new memberships, renewal, a Coloma-Lotus Community Hall Membership (same benefits, but no affiliation with state and national grange), and to make donations. Benefits of Membership

Email *

Membership Type *

Grange Membership (complete #’s 1, 2, 3, 4)

Coloma-Lotus Community Hall Member (complete #1)

Membership and Donation Form

Please provide your email address and complete the fields needed for your type of membership.

#1 Name *

#2 Mailing Address

#3 Phone

#4 New Grange Members: To the officers and members of Gold Trail Grange No. 452, I respectfully petition to be initiated and enrolled as a member in Gold Trail Grange. In presenting this application, I am influenced by no motive other than a desire to unite with others in elevating and advancing the interest of my community through the principles of the Grange and receiving in return such benefits and advantages as may accrue to all who belong to the Grange. I promise a faithful compliance with the By-Laws of this Grange. Please Print name and date below.

Membership Dues and Donations (check all that apply) *

Gold Trail Grange Membership (new & renewing) - $35 due

Coloma-Lotus Community Hall Member -$35 donation

Required

Please remit your donation - clicking submit will open a new window with payment information: *

Paypal or credit card

Mail check

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A copy of your responses will be emailed to the address you provided.

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