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Membership Application
Are you ready to join the New York State Grange? If you
need to find a local Grange
click here
Membership
brochure in PDF format
You can download and print the
membership brochure , or print out an association application
below,
fill in the requested information and send to
New York State Grange,
100 Grange Place,
Cortland, New York 13045
Please include a check for $25.00
payable to New York State Grange.
Associate Membership
Highlight below from "I wish"
through the end of the application and then print that selection.
I wish to be an Associate Member
of the New York State Grange and help sustain the work of the
Grange. As an Associate Member I understand that I am entitled to
the member services of the Grange. A brochure outlining these
services will be sent upon receipt of this application. Also, as an
Associate Member of the Grange, I understand that I am "without
vote" in the local Grange until I choose to become an initiated
member of a local Grange. If you are not aware of a local Grange we
will include contact information with your member brochure.
(Please Print)
Name_______________________________Phone_______________
E-Mail address:
____________________________
Address__________________________
City______________State_______Zip
Code_______
LOCAL GRANGE AFFILIATION (if you
choose to be affiliated with a local Grange, that Grange will
receive $10 of your dues and be credited with your membership.
I wish to have a local Grange
affiliation?______ Yes _____No
If you know the name of the
Grange you wish to affiliate with please enter below:
GRANGE NAME___________________
GRANGE NUMBER._________ COUNTY_________
DATE__________SIGNATURE_____________________________________________
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