Online Registration Form

Interested in joining the Order of the Eastern Star? Express your interest in becoming a member by simply completing and submitting the following form and we will be in touch shortly.

Personal Details
Gender *
Gender Field is Missing
Lodge Number
Lodge Name
Title *
Title Field is Missing
Full First Name *
Please Enter Your Full First Name
Preferred First Name *
Please Enter Your Preferred First Name
Middle Name
Please Enter Your Middle Name
Last Name *
Please Enter Your Last Name
Date of Birth *
Date Of Birth Invalid
Contact Details
Residential Address *
Please Enter Your Street Number
Please Enter Your Street Name
Please Enter Your Suburb
Please Enter Your Postcode
Please Fill Your State
Please Enter Your Country
Email Address *
Email Address Is Empty
Mobile Phone
Either Mobile # / Landline # is required
Landline
Either Mobile # / Landline # is required
Chapter Details
I would like to join Chapter *
Please Enter A Chapter
Applicant Details
Have you ever previously applied to join The Order of The Eastern Star? *
Please Choose One Option
Qualifiers
Do you believe in a Supreme Being? *
Please Select Your Choice
Do you know anyone who is or has been a member of the Order or a Freemasons Lodge? *
Please Select Your Choice
By hitting submit, you declare that all information entered is accurate and you are making a genuine enquiry to become a member of your nominated Chapter.
Submit