EmailMeForm
United Peninsula Lodge No.24 Annual Dues
Dues are payable as-of January 1 each year (you may pay early!)
I am:
*
Paying my 2020 Dues
Paying my 2021 Dues!
Paying Both 2020 & 2021 Dues!
Categories marked with "*" are mandatory fields.
Paying Arrears 2020 Dues:
These fees were owing effective January 1, 2020
Please Select
2020 Regular Member ($200)
2020 Regular Member Paying GL Assessments Through Another Lodge ($200-$80 =$120)
2020 Thirty-Year Member ($200-$120=$80)
2020 Thirty 30-Year Member Paying GL Assessments Through Another Lodge ($200-$120-$80=$0!)
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
Paying Current 2021 Dues:
Please Select
2021 Regular Member ($235)
2021 Regular Member Paying GL Assessments Through Another Lodge ($235-$92 =$143))
2021 Thirty-Year Member ($235-$143 = $92)
2021 Thirty-Year Member Paying GL Assessments Through Another Lodge ($235-$143-$92=$0!)
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
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Telephone:
###
-
###
-
####
Email
*
About the E-Commerce & PayPal Process:
We use PayPal to process card transactions. For web security, you may be required to complete a ReCaptcha Image Verification after you click on the PayPal bar (bottom of this form). If you are asked to complete an Image Verification, please follow the prompts to continue to PayPal.
You do not need to have an established PayPal account to use their services. 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!
Total
$0.00