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 | REGION OF ITALY |
| Membership Form |
| PRAYER |
| SPECIAL Membership FLYER |
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Lodge Meetings Our Lodge meets on the third Wednesday of each month at the TO BE ANNOUNCED 7 PM. You are welcome to attend our meeting and meet other Italian American Lodge Members Call 729-6987 for directions |
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2008-2009 Council Members
Links Section
President:
William Pezzillo
Vice President:
William Wahler
Treasure:
Michael Alessi
Financial Sec.:
Marilyn Pezzillo
Recording Sec:
OPEN
Orator:
OPEN
Founder/Trustee:
Toni Ann Sozio
Trustee:
Carol Joaquin
OPEN
Terry Sozio
State Trustee:
Bernard DiGiovanni
MC/Guard:
Open Position
Past President:
None
Site Admin:
William Pezzillo
NATIONAL GRAND LODGE FLORIDA GRAND LODGE ITALIAN GENEALOGY ITALIAN GENEALOGY ITALIAN MERCHANDISE FLORIDA FOUDATION
Membership Form
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ORDER SONS OF ITALY IN AMERICA (OSIA) GRAND LODGE OF FLORIDA MEMBERSHIP APPLICATION
I, hereby apply for membership in the ____________________________Lodge #__________
of the Grand Lodge of Florida, Order Sons of Italy in America, Inc. (O.S.I.A.)
Regular Membership_______ Social Membership______
Is this a Reinstatement _____Yes _____No
Name__________________________________________
Email________________________
Address____________________________City_________________State_____Zip_________
Telephone: Home________________________
Business ____________________________
Date of Birth____________________
Place of Birth_________________________________
Married ___ Single ____ Widowed____
Name of Spouse ____________________________
Anniversary Month ________ Year______ Full Time Resident ___Yes ____No
Past Italian Namesake_________________________
Occupation/Hobby_________________
Have you ever been convicted of a Felony? ____ Yes ____ No
FOLD HERE FOLD HERE
If accepted as a member, I agree to be bound by the present and future laws of the Supreme Lodge,
of the Grand Lodge of Florida, and of the Lodge of which I become a member. I believe in the fundamental principle of God and country,
and do not profess any doctrine which aims unlawfully to overthrow the social order or the organized government by force or violence.
Applicant Signature____________________________________
Date____________________
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I affirm that I know the applicant and believe him (her) to be a person of good moral character and qualified to become a member of the Order.
Sponsor Name(Print)____________________________________________________________
Sponsor Signature_____________________________________
Date____________________
Date Approved__________________
Date Initiated ___________________
Date Cancelled ______________ Date Accepted____________________
By______________________________________________________
State Financial Secretary
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NOTE: Attach to Qtrly Report and forward to the State Financial Secretary for validation.
A validated copy will be returned to the address below via email or U.S. Postal Service.
Printed Name of Lodge Financial
Secretary:____________________________________________________
Email Address:_____________________________
Street Address__________________________________
Telephone:____________________________
City:_________________________
State______Zip__________
