Form 10A - New Member Registration

Member Registration

Member Information

Parent/Guardian Information

Parent/Guardian Information

Payment

Payment being made by check are to mailed to the address below and must be post marked no later than 10 days after the youth received his degree either by ceremony or induction.

Make check payable to: Michigan DeMolay

Attn: Jeff Stewart
Michigan DeMolay Youth Registration
43601 Antietam Dr.
Canton, MI 48188

Price: $ 55.00
$ 0.00