Member Greetings Consent Form - Mizpah Lodge #302

Members may opt in on this printed form or verbally (see the verbal opt-in script). A PDF copy of this form is also available.

Mizpah Lodge #302 Member Greetings — Consent Form

Mizpah Lodge #302 A.F. & A.M. · PO Box 6362, Omaha, NE 68106-0362 · (402) 558-0666 · Mizpah302sec@gmail.com

Member name

Text Message Consent (optional)

Text messages are optional. You do not have to agree to receive text messages. You may leave this box unchecked and still complete and sign this form. Agreeing is not a condition of membership.

By checking this box, I agree to receive text messages from Mizpah Lodge #302 at the mobile number below.

Message type: birthday and Masonic anniversary greetings from Mizpah Lodge #302 (no advertising).
Message frequency: about 2 messages per year.
Msg & data rates may apply.
Reply STOP to opt out at any time. Reply HELP for help.
Terms: omahamasons.com/terms.html · Privacy Policy: omahamasons.com/privacy.html. Your mobile number and consent are never shared with third parties for marketing.

Mobile (cell) phone number

Email Consent (optional)

By checking this box, I agree to receive birthday and Masonic anniversary greeting emails from Mizpah Lodge #302 at the email address below.

Email address

Signature

Date

For lodge use: Entered in member records by ____________________ on ____ / ____ / ________