If you would like to add your email address to our mailing list and have access to the monthly Bugle publication, please submit the information in the form below. We will only place Elks Lodge members on the mailing list. Sorry, it would be too much to maintain a database of the public at-large. (Information submitted is for Lodge purposes only.)

NOTE: IF YOU ARE A MEMBER OF ANOTHER LODGE, ENTER YOUR ID NUMBER AND
ADD A DASH WITH YOUR LODGE NUMBER (EXAMPLE, IF YOU ARE A THOUSAND OAKS
MEMBER WITH AN ID OF '1234', ENTER '1234-2477')

MEMBERS OF THE SIMI VALLEY LODGE NEED ONLY ENTER THEIR ID NUMBER

After completing the form, you will receive an email with a link to activate your registration. Please activate your registration as soon as possible.

(Please note: password and last-name entries are 'case sensitive')

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Member ID:
Last Name:
First Name:
Email Address:
Regular Mail Address:
City:
State: (2-character abbreviation)
Zip Code:
Phone Number: (xxx-xxx-xxxx)
Password: (best if 6-20 characters)
Deliver by Email: Deliver by Regular Mail: Please note: The password field is used so that you can modify your registration in the future. All passwords are encrypted by a one-way encryption algoritm and are impossible to reverse. Fogotten passwords can only be replaced by a new password, but never recovered.