GRAND LODGE OF FLORIDA Date Initialed __/__/__

ORDER SONS OF ITALY IN AMERICA, INC

Date Cancelled __/__/__
Please print answers to all questions below

LODGE COPY

I HEREBY APPLY FOR MEMBERSHIP IN THE PALM BAY LODGE # 2823 of the Grand Lodge of Florida, Order Sons of Italy in America, Inc.
Regular Membership

1. Name ___________________________________________________________________________

First Name Initial Last Name

2. Address _________________________________________________________________________

Street Addres City & Zip

3. Telephone: Home _________________ Business: _____________

4. Date Of Birth: _____________________

5. Place of Birth: ________________________________

6. STATUS:
Married_____
Single_____
Widowed_____

7. Name of Spouse: _____________________________

8. Are you of Italian Ancestry, married to, or adopted by an Italian:

Yes______ No______

9. Former Occupation: _____________________

Full Time Resident:

Yes_____ No______

10. Check here if this is a reinstatement

Yes______ No______

11. Have you ever been convicted of a felony:

Yes_____ No______

Sponsor: ___________________________________

LODGE COPY

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.

Signature of Applicant: ______________________________________________
Date: ____/____/____ 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.

Signature of Proponent: _____________________________________________Date: ____/____/____

GRAND LODGE OF FLORIDA ORDER SONS OF ITALY IN AMERICA, INC

Date Accepted : ____/____/____ By: ____________________________________

APPLICATION FOR MEMBERSHIP Date Approved __/__/__

GRAND LODGE OF FLORIDA Date Initialed __/__/__

ORDER SONS OF ITALY IN AMERICA, INC

Date Cancelled __/__/__
Please print answers to all questions below

LODGE COPY

I HEREBY APPLY FOR MEMBERSHIP IN THE PALM BAY LODGE # 2823 of the Grand Lodge of Florida, Order Sons of Italy in America, Inc.
Regular Membership

1. Name ___________________________________________________________________________
First Initial Last
2. Address _________________________________________________________________________
Street City Zip
3. Telephone: Home ________________________ Business: _______________________________
4. Date Of Birth: _____________________
5. Place of Birth: ________________________________
6. Married: Single: Widowed:
7. Name of Spouse: _____________________________
8. Are you of Italian Ancestry, married to, or adopted by an Italian: Yes No
9. Former Occupation: _____________________
Full Time Resident: Yes No
10. Check here if this is a reinstatement
11. Have you ever been convicted of a felony: Yes No

Applicant Signature: _________________________

Sponsor: ___________________________________

LODGE COPY

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.

Signature of Applicant: ______________________________________________
Date: ____/____/____ 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.

Signature of Proponent: _____________________________________________Date: ____/____/____

GRAND LODGE OF FLORIDA ORDER SONS OF ITALY IN AMERICA, INC

Date Accepted : ____/____/____ By: ____________________________________

GRAND LODGE OF FLORIDA Date Initialed __/__/__

ORDER SONS OF ITALY IN AMERICA, INC

Date Cancelled __/__/__
Please print answers to all questions below

GRAND LODGE COPY

I HEREBY APPLY FOR MEMBERSHIP IN THE PALM BAY LODGE # 2823 of the Grand Lodge of Florida, Order Sons of Italy in America, Inc.
Regular Membership

1. Name ___________________________________________________________________________
First Initial Last
2. Address _________________________________________________________________________
Street City Zip
3. Telephone: Home ________________________ Business: _______________________________
4. Date Of Birth: _____________________
5. Place of Birth: ________________________________
6. Married: Single: Widowed:
7. Name of Spouse: _____________________________
8. Are you of Italian Ancestry, married to, or adopted by an Italian: Yes No
9. Former Occupation: _____________________
Full Time Resident: Yes No
10. Check here if this is a reinstatement
11. Have you ever been convicted of a felony: Yes No

Applicant Signature: _________________________

Sponsor: ___________________________________

GRAND LODGE COPY

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.

Signature of Applicant: ______________________________________________
Date: ____/____/____ 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.

Signature of Proponent: _____________________________________________Date: ____/____/____

GRAND LODGE OF FLORIDA ORDER SONS OF ITALY IN AMERICA, INC

Date Accepted : ____/____/____ By: ____________________________________

APPLICATION FOR MEMBERSHIP Date Approved __/__/__

GRAND LODGE OF FLORIDA Date Initialed __/__/__

ORDER SONS OF ITALY IN AMERICA, INC

Date Cancelled __/__/__
Please print answers to all questions below

GRAND LODGE COPY

I HEREBY APPLY FOR MEMBERSHIP IN THE PALM BAY LODGE # 2823 of the Grand Lodge of Florida, Order Sons of Italy in America, Inc.
Regular Membership

1. Name ___________________________________________________________________________
First Initial Last
2. Address _________________________________________________________________________
Street City Zip
3. Telephone: Home ________________________ Business: _______________________________
4. Date Of Birth: _____________________
5. Place of Birth: ________________________________
6. Married: Single: Widowed:
7. Name of Spouse: _____________________________
8. Are you of Italian Ancestry, married to, or adopted by an Italian: Yes No
9. Former Occupation: _____________________
Full Time Resident: Yes No
10. Check here if this is a reinstatement
11. Have you ever been convicted of a felony: Yes No

Applicant Signature: _________________________

Sponsor: ___________________________________

GRAND LODGE COPY

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.

Signature of Applicant: ______________________________________________
Date: ____/____/____ 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.

Signature of Proponent: _____________________________________________Date: ____/____/____

GRAND LODGE OF FLORIDA ORDER SONS OF ITALY IN AMERICA, INC

Date Accepted : ____/____/____ By ____________________________________

Members in good standing may transfer from another lodge at no cost, until year-end, when only the $60.00 is due.
All members receive a free subscription to the most widely read magazine in the US for people of Italian heritage..
All members in Florida receive a free subscription to The Floridian, a newspaper published quarterly by The Grand Lodge of Florida.
All members are entitled to visit any OSIA Lodge in the U.S. or Canada. You may not vote at another lodge, but you may attend meetings, social functions, etc. This is especially beneficial to our snowbirds. If you are a member from the north, please come to one of our meetings for some Southern Hospitality. If you wish to join us, please print our membership application. Fill it out and bring it to our next meeting, or mail to:

Oder Sons of Italy in America

Palm Bay Lodge # 2823

P.O. Box #101298

Palm Bay, Fl 32910-1298

There are two membership categories:

Regular Members: Those members who are of Italian birth or descent; also, the spouses of those of Italian lineage, or those who have been adopted by a person or persons of Italian lineage, and spouses of such adopted persons; widows, widowers and divorced spouses of current or former members.
Social Members: Those members who, because of their national origin are not admitted as regular members. Social members may participate in social, athletic, and cultural activities. Social members shall not, under any circumstances, have the right to vote or hold office in the Lodge. Social members shall be allowed to serve as members and/or the chairman of a committee.