Membership Application

SOKOL USA

To become a member please fill out the form below. Initiation fees per individual lodge.

Lodge Applying to
Untitled
do herby apply for Membership in the Sokol USA. Knowing the purpose for which this Association stands and being familiar with its By-Laws I hereby promise that if I am accepted its membership I will obey all its laws, rules, and regulations that are now in force or that may be thereafter adopted.
Name
Address
- City
- State
- Zip Code
- Phone
- Email
- DOB
- Social Security #*
- Sex
  - Male
  - Female
- Marital Status
  - Single
  - Married
  - Widowed/Divorced
- Applicant's Digital Signature*
- Date*

After being accepted member MUST contact www.GBU.org or Call 1-800-765-4428 in order to sign up for a required insurance policy or annuity.

SOKOL USA