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First Proposer: Auxiliary No. WW~J <br />Name <br />Second Proposer: Auxiliary No. i l l l l <br />Name <br />Grand Aerie I.D. No. WW.W L.~~ Address <br />Address <br />City State/Prov. Zip Code <br />City State/Prov. Zip Code <br />TO BE FILLED IN BY SECRETARY <br />Application No. I I I I I I I I I In Auxiliary No. I I I I I Fraternal Order of Eagles <br />Date Reported to Month Day Year <br />Amount Paid $ I I I ~ I I Official Receipt No. I I I I I G.A. Mem. Dept. W W W <br />APPLICATION APPROVED FOR <br />Beneficial O or Non-Beneficial ~ AAernbership ~~ <br />Month Day Year <br />Application Submitted WLW I I I I I I <br />Elected to Membership W!_1 L I 11 1 1 <br />Date Initiated W1_1 l l l I I I <br />Secretary <br />We, your Committee have interviewed the <br />above-named applicant and recommend that she be <br />^ Accepted ^ Rejected ^ Re-Enrolled <br />for membership in this Order. <br />FRATERNAL ORDER OF EAGLES Auxiliary Initiation Fee Receipt <br />Received from Amount Received $ <br />Applicam's Name <br />In payment of Initiation Fee in Auxiliary No <br />Received by <br />Date <br />Signature of Sponsor <br />To Txta Aeet.tceNr -Thu is your receipt for payment of Initiation Fee only and does not entitle you to any privileges in the Auxiliary. If your application for membtnhip <br />is accepted by the Auxiliary you will be notified of your election to membership. Your O~cial Receipt identifying you as a paid up member of the Order will 6e issued <br />to you at the time of your initiation and/or upon paymrnt of dues. <br />DETACH & Glve Thls Potilon To AppUcant <br />