Registration – DISTRICT 70

Name*

First Last

District Lodge Number*

i.e. District Lodge #70

Local Lodge Number*

i.e. Local Lodge 639, 708, 774, 839, 1989, 2799, or other if you are not local.

Member Number*

This is your book number. If you do not know your member/book number you can call the District office at 316-522-1591.

Username*

Usernames cannot be changed once created - make your decision wisely.

Email*

Password*

Enter Password Confirm Password

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