Name
(Required)
First
Last
Local Lodge:
(Required)
District Lodge
(Required)
19
Other
Carrier:
(Required)
--- Please Select ---
AT&T
Verizon Wireless
T-Mobile®
Sprint
Virgin Mobile USA
Cincinnati Bell
Centennial Wireless
Unicel
U.S. Cellular®
Other
District Lodge: Other
Hidden
District Lodge:
(Required)
Other Carrier:
(Required)
If not using a defined mobile carrier above, please enter your carrier here.
Cell Phone:
(Required)
Email:
(Required)
Summary Terms & Conditions: Our mobile text messages are intended for subscribers over the age of 18 and are delivered via USA number 866-897-5500. You may receive up to 10 message(s) per month for text alerts. Message and data rates may apply. This service is available to persons with text-capable phones subscribing to carriers including AT&T, Verizon Wireless, T-Mobile®, Sprint, Virgin Mobile USA, Cincinnati Bell, Centennial Wireless, Unicel, U.S. Cellular® and Boost. For help, text HELP to 866-897-5500, email
[email protected]
or call+ 1 (815) 280-6400. You may stop your mobile subscription at any time by texting STOP to 866-897-5500.
Permission
(Required)
I agree to the and give my permission
By checking (signing), I give the IAM permission to send text messages to my mobile number.
Name
This field is for validation purposes and should be left unchanged.