AOH Form 28 - Mass AOH State Board

APPLICATION FOR PERMISSION TO FORM A DIVISION
ANCIENT ORDER OF HIBERNIANS IN AMERICA, INC.
Date Submitted:_________________
________________State/Provincial Board
_______________________County Board
To: The National Board
We, the undersigned hereby petition that we may be permitted, pursuant to the provisions of the National Constitution of the Ancient Order
of Hibernians in America, Inc. and the By-Laws of the above named State and County Boards, to organize as a local Division of the Ancient Order of
Hibernians in America, Inc.. We hereby pray that upon approval of this application a Charter may be issued incorporating the undersigned as a local
Division subject to the National Constitution, State and County By-Laws, and the rules and regulations of the above stated superior boards, now in
effect or that hereafter may be adopted.
Each of the undersigned represents and affirms that he is a practicing Roman Catholic, of Irish birth or descent (through either parent),
loyal to the government of the United States of America (or Canada, for Divisions being organized there), opposed to Communism and Fascism, and
not a member of any organization classified as subversive by the United States of America (or Canada) or any agency thereof.
Name
Address
City/State/Zip
Email
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------The original signed petition will be retained by the applicant Division’s next higher superior board. Upon approval and immediately AFTER the organizational meeting of the new Division there shall be sent to the National, State, or Provincial and County Secretaries a full list by name and address of
every member of the new Division, together with a list of the first officers. Also the Division number, place of meeting, and the date on which the
organizational meeting took place shall be included.
Form 28