Return completed form to the Home Office by mail: C/O Member Service,Western Fraternal Life,1900 First Avenue NE, Cedar Rapids, Iowa 52402 or email email@example.com or fax: 319.363.8806 or call: 1-877-935-2467 or 319-363-2653 to talk to someone in our Member Service Department.
Lodge Points Activity Form - Printable
You can use these online forms to submit your points activities. Click here for the activity form, click here for the monetary donation form, and click here for the points descriptions.
Fraternalist of the Year Guidelines
Graduating Member Form
Lodge Material Price List
Members in Action pre-event form
Members In Action post event form
Outstanding Individual Award Certificate form
Do you have questions about Western or about your certificate? Our member service department is available from 7:45 a.m. to 4:30 p.m. CST, Monday to Thursday and 7:45 a.m. to 1:15 p.m. on Fridays. Our helpful member service representatives are happy to answer any of your questions. We are committed to protecting your privacy and our member service representatives follow Western privacy policies when dealing with your personal information.
Call 877-935-2467 to speak with a Western Fraternal Life Representative.