Online Registration Form

Interested in joining the Order of the Eastern Star? Express your interest in becoming a member by simply completing and submitting the following form and we will be in touch shortly.

Personal Details
Gender *
Gender Field is Missing
Lodge Number
Lodge Name
Title *
Title Field is Missing
Full First Name *
Please Enter Your Full First Name
Preferred First Name *
Please Enter Your Preferred First Name
Middle Name
Please Enter Your Middle Name
Last Name *
Please Enter Your Last Name
Date of Birth *
Date Of Birth Invalid
Contact Details
Residential Address *
Please Enter Your Street Number
Please Enter Your Street Name
Please Enter Your Suburb
Please Enter Your Postcode
Please Fill Your State
Please Enter Your Country
Mailing Address *
Please Enter Your Street Number and Street Name
Please Enter Your PO Box
Please Enter Your Suburb
Please Enter Your Postcode
Please Enter Your State
Please Enter Your Country
Email Address *
Email Address Is Empty
Mobile Phone
Either Mobile # / Landline # is required
Landline
Either Mobile # / Landline # is required
Chapter Details
Click here to locate your closest chapter
I would like to join Chapter *
Please Enter A Chapter
Applicant Details
Have you ever previously applied to join The Order of The Eastern Star? *
Please Choose One Option
Qualifiers
Do you believe in a Supreme Being? *
Please Select Your Choice
Do you know anyone who is or has been a member of the Order or a Freemasons Lodge? *
Please Select Your Choice
By hitting submit, you declare that all information entered is accurate and you are making a genuine enquiry to become a member of your nominated Chapter.