MEMBERSHIP APPLICATION

                                                     TO BE COMPLETED BY LODGE SECRETARY                                                          

ALL LINES MUST BE COMPLETED TO BE ENROLLED IN OSIA         

I hereby apply for Membership in the____________________________________ Lodge no._______
of the Grand Lodge of Pennsylvania, Order Sons of Italy in America.

Name_____________________________________________________   

Address___________________________________________________(Please print)                                                                                                                                                          City___________________________________ State __________ Zip_____________ 

 Phone:  Home (___)________________ Work (___)___________________

 Cell  (___)______________________ Fax  (___)____________________

Email _______________@___________        Smoker ___                  Non-Smoker ___    (applicant)

*** Beneficiary__________________________________ Relationship______________________                                                                                             (Please print)                                                          

Current Age ________ Date of Birth _________________

Place of Birth_________________________Occupation_____________________________

Married ____ Single ____ Widowed ____ Name of:  Husband___________________  

Gender:  Male ______ Female______

               Wife______________________       (Maiden Name)

Are you of Italian ancestry?  Yes ___ No ___              Name of:  Father ________________________

Is your spouse of Italian ancestry?  Yes ___ No ___
Mother _____________________   (Maiden Name)     

Have you ever been a member of the Order?   Yes_____         No_____ Number of Lodge ___________            

Is spouse a member?   Yes_____     No_____                              If yes, Lodge # ________________________

I AGREE THAT NO DEATH BENEFIT SHALL TAKE EFFECT UNTIL INITIAL DUES HAVE BEEN PAID.

***MEMBERSHIP INCULDES A $500.00 INSURANCE POLICY FOR AGES 0 TO 54 AS PART OF MEMBERSHIP PACKAGE***

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 Pennsylvania, 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 that aims unlawfully to overthrow the social order or the organized government by force of violence.

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.

_____________________________    ____________________________   ____________________________      Date ________________

(Print Sponsor Name)  ________________________________                                            

(Signature of Financial Secretary)  _________________________________                     (

Signature of Applicant)_______________________________________________

(Are you interested in our life insurance program for yourself or any member of your family? 

Yes ____ No ____

(Would you like someone to call to explain our life insurance program?  Yes ____ No ____

(Are you interested in other insurance and annuity programs?  Yes ____ No ____

Answer ALL questions.  PRINT OR TYPE INFO. Use ink only.  Immediately after initiation the lodge financial secretary shall submit the original completed application with the application fee to the Grand Lodge of Pennsylvania.

 
PHOTOCOPIES OF COMPLETED APPLICATION NOT ACCEPTED.

The National Sons of Italy
www.OSIA.org
Packed with information about the Sons of  Italy. Website also links to other lodges.

The Grand Lodge of Pennsylvania
www.sonsofitalypa.com
This website has several links to  other lodges.

Information on learning Italian and other good things
Michael San Filippo - About.com Italian Guide <italian.guide@about.com>

Babel Fish Translation
babelfish.altavista.digital.com
This site is helpful for anyone who wants to write in Italian to their friends and family, but need help in translating from English to Italian.

Italian Genealogy
italiangenealogy.tardio.com/html/
Interested in tracing  your family tree. This site may be of value.

Pasta Recipes
pastarecipe.com
Try this website for pasta recipes.