Member Renewal Form

From Constitution: ARTICLE III. MEMBERSHIP SECTION I. A FIRST INSTALLMENT OF $50.00 IS DUE FROM EACH RETURNING MEMBER AT THE FIRST MEETING OF THE YEAR IN ORDER TO MAINTAIN ACTIVE MEMBERSHIP AND BECOME ELIGIBLE TO VOTE ON THE ELECTION OF OFFICERS. FAILURE TO PAY THE $50.00 INSTALLMENT AT THAT TIME NULLIFIES ACTIVE MEMBERSHIP INTO THE KREWE. THE DEADLINE FOR THE FINAL PAYMENT OF DUES IS SEPTEMBER 30TH. EXCEPTIONS ARE WITH BOARD APPROVAL ONLY AND CARRY A 10% PER MONTH PENALTY. DUES ARE NON‑REFUNDABLE AND NONTRANSFERABLE.
Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Mobile Phone *
Date of Birth *
Email *
Life Partner/Spouse Name (if applicable)
Text Messages: *
Can you receive "text" messages on your mobile phone?YesNo
Email *
Can we send all Krewe correspondence via Email to save postage?YesNo
Membership Level: *
Please choose which type of membership you would like to renew as:Student Membership, $175Full Membership, $300Associate Membership, $175
Emergency Contacts Emergency Contacts (spouse or next of kin who can make medical decisions)
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Relation #1 *
Mobile Phone #1 *
Name #2 *
Relation #2 *
Mobile Phone #2
Photo Consent *
Do you grant permission to The Mystic Krewe of Apollo de Lafayette, to take and use: photographs and/or digital images of me for use in news releases.I Grant PermissionI Do Not Grant Permission