| Knights of Lithuania Lietuvos Vyciai Established 1913 "For God and Country" |
Council #_____________________________________New Member or Rejoining Member (please circle one) Name_________________________________________________________________________________________ Street Address__________________________________________________________________________________ City ____________________________ State _______________________________ Zip ______________________ Telephone number __________________________________ Marital Status ______________________________ Email address ______________________________________ Birthdate (optional) __________________________ Website Address________________________________________________________________________________ Are you of Lithuanian ancestry? Y N Are you a practicing Catholic? Y N (circle one) (circle one) Member of which parish?________________________________________________________________________ Recommended by:______________________________________________________________________________ I, the undersigned, apply for membership in the Knights of Lithuania and promise to abide by its constitution, bylaws and national convention resolutions and recommendations. ____________________________ _______________________________ Signature of applicant Date of application |
| Membership Application |
| For K of L Office Use Only We approve and accept the above applicant as a regular / associate member of Council ________ _____________________________________________ Signature of Council Financial Secretary and Date I approve and accept the above applicant as a member of the Knights of Lithuania _____________________________________________ Signature of National 2nd VP for Membership and Date Officially entered on memberhship roll ______________ by ________________________________________________ National Financial Secretary |
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