Please fill out the the membership form to change ponds below: BLUE GOOSE MI Pond - Changing Pond Application Form BLUE GOOSE MI Pond - Changing Pond Application Form Application from the Michigan Pond Name * Date of Birth * Mailing Address : * -Street- City * State or Province * Zip or Postal Code * Email Address * Residential Phone Number / Cell Phone Number * Business Phone Number Fax Number Employed By * Spouse Name Where were you a member of another pond? * IF YOU HAVE EVER BEEN A POND OFFICER COMPLETE THE FOLLOWING: Position Held Dates position held Dates Held Do you agree to our Acceptance Policy? * accept Acceptance of application by Grand Nest is based on acceptance of Pond and vouched for by 3 Ganders. Entertaining a high regard for the aims and objects of the Honorable Order of the Blue Goose, International and promising to abide by the Constitution and By-Laws, if admitted to membership, I hereby submit my application for membership. reCAPTCHA Δ If you are due for payment, you can pay your dues online: Pay Dues