EmailMe Form - United Peninsula Lodge No.24 Annual Dues

I am: *

Renewing my 2019 United Peninsula Lodge No.24 Annual Membership

Categories marked with "*" are mandatory fields.

Category of Membership *

Please note that this form is only for renewals of existing members of United Peninsula Lodge No.24. All memberships are subject to Lodge Bylaws

Members paying GL Assessments Through Another Lodge:

If paying Grand Lodge Assessments through another Lodge within the jurisdiction, please indicate the Lodge. Exemptions from GL Assessments and 30-Year status are subject to verification

Your Dues Card will be sent to you within 10 days upon verification of your dues amount

Your Information

This registration form is fully encrypted for your safety.

Your name: *

Prefix First Last

For Prefix, please use one of Bro, W Bro, VW Bro, RW Bro, or MW Bro

Address & Telephone: *

Same as currently on-file

Please update as below:

Address:

Street Address City State / Province / Region Postal / Zip Code Country / Region

Telephone:

### - ### - ####

Email *

About the PayPal Process:

You do not need an established PayPal account to use their services. After completing the Image Verification and you click on the PayPal logo (bottom of this form), you will be automatically directed to the PayPal centre.

If you have a PayPal account, after you log-in, you will be one-click away from completing the process. For those without a PayPal account, please select "Pay with Debit or Credit Card". You will need to select whether you are in the United States or Canada (top of the page after you select "Pay with Debit, etc"), then advise your exact credit card billing address and all your card information. United Peninsula does not receive or maintain any of the information you supply PayPal.

If you have challenges and abandon the PayPal process (usually an address or card problem), once you have determined the exact billing address and all your card information, please re-complete this form on the UP24 website; we'll see the duplicate entry and figure it out!

About the Image Verification:

The Image Verification or "CAPTCHA" is a security tool to ensure that web robots don't spam our forms. If you find that even after you have entered-in the 4 characters and clicked the submission button at the bottom of the page, you get a "CAPTCHA is Incorrect" message, please click-on "Refresh Image" and then enter the four new characters. All should work then!