Interested in joining Our Krewe?

Krewe
of
T r i to n
A p p l i c at i o n f o r m e m b e r s h i p
due April 1, 2016
Name
Date of Birth
Home Address
Length of time at current address
Phone (home)
(work)
(cell)
Email Address
Business/Company and Occupation
Community Involvement
Spouse’s Name
Date of Birth
Spouse’s Email
A p p l i c at i o n T y pe
New Membership*
Renewal
Please contact me
about being on a committee
or serving the Krewe in
another capacity.
Membership Fees
S qua d C o lo r
Krewe Dues $500
King’s Club$200
Queen Fee$3,000
Duke Fee$800
Maid Fee$800
Page Fee$400
Duke’s Club (Past Dukes Only) $45
Diamond
Payment Information
Total Amount $
Check No.
Gold
Green
Pasty White
Purple
Red
Make checks payable to Krewe of Triton,
PO Box 51757, Lafayette, LA 70505
Credit Card # Exp Date Security Code
*New Membership Applications: Please fill out the following to be considered for approval
Do you have a relative that is a member?
If so, Name
Sponsoring Triton Member Name
Sponsoring Triton Member Signature
New member candidates must have a sponsoring Krewe member.
Date