HOW TO APPLY FOR MEMBERSHIP:
Print out these forms and fill in the information requested.
Sign both forms and send with a check for $23 to:
Santa Cruz Live Oak Grange
1900 17th Ave
Santa Cruz, CA 95062
Note: The blanks for Recommended By can be filled in by a Grange member
or left blank. The Affiliate membership is for those who already belong
to a Grange. The Grange News is a bimonthly state newspaper sent free
to all who request it.
APPLICATION FOR MEMBERSHIP
Santa Cruz Live Oak Grange #503
Name __________________________________________________
Address _______________________________________________
City ____________________ State ____ Zip_____________
Phone ___________________ Birthdate___________________
E-mail address ________________________________________
Occupation ____________________________________________
Company or Organization _______________________________
I respectfully petition to be initiated and enrolled as a
member of your 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, and
the Constitution and Laws of the State and National
Grange. I have not previously applied for membership in
this or any other Grange in the past 6 months.
Signature ____________________________ Date ____________
Recommended by (1) ______________________________________
and (2) ______________________________________
Application fee $3.00 Annual Membership fee $20.00
Affiliate? ___Yes ... Home Grange _____________________
No. _______
Receive Grange News? ___Yes ___No
Santa Cruz Live Oak Grange #503
Grange Membership Pledge
(Please read and sign)
In signing this oath, I declare that I will exercise due
discretion in not communicating the ritualistic work of the
Grange to anyone, unless authorized to do so. That I will honor
and abide by the Golden Rule, the laws of my state and nation,
and the Constitution, rules, and regulations of the Grange at all
levels. That I will not sponsor anyone for membership whom I
know to be lacking in qualities of character and gentility of
demeanor, nor oppose the admission of anyone solely on the
grounds of personal prejudice. I will not act deceitfully or
fraudulently toward the brothers and sisters of my Order nor the
good citizens of my community, nor stand idly by while others
do so if within my power to prevent it. That I will endeavor to be
a true and faithful shepherd of the Earth and Patron of
Husbandry. That I will actively perform the duties and
participate in the activities of this Order, and aid others to do the
same. Should I knowingly or willfully violate this pledge, I will
resign myself from membership in this Order.
Print Name __________________________________
Signature ____________________________________
Date _______________________
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