Georgia Life Membership Become a Georgia State Life Member Today! Life Membership Application Form Steps to becoming a State Life Member 1: Complete and submit the application below 2: Contact your chapter KRS and pay the $375 within 10 days of submitting the application 3: Email a copy of your receipt to the State KRS Bro Dominic Thurston Brother Name* First Middle Last Suffix Current Chapter*Initiation Chapter*Chapter Location*Initiation Date*Control Number*Email* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Evening Phone*
