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former member acknowledgment o

Date of Application Women of the Moose applicants, Moose Legion (ML) applicants, former member applicants as well as reinstatement and transfer requests must contain your current or prior Moose ID No. which may be obtained from the lodge, chapter, ML or Moose International Membership ID Expiration Date (if applicable) Please PrintName Address City State/Province Zip Country Date of BirthCell phone numberEmail Occupation Marital Status (Check one) o Single o Married (Spouse s Name)

m Stepping stone for involved members to be considered for even Higher Degrees. Only Moose Legionnaires can be recommended for the Fellowship Degree of Honor. Only Fellows can then be considered to advance to the Pilgrim Degree of Merit. Moose Legion dues help fund the following programs/ activities: Moosehaven’s Operations and Senior Medical

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