Archival Document
Membership form for the United Ancient Order of Druids
"To the officers and members of Cleanthe' Grove No. 4: Gentlemen: Entertaining a favorable opinion of your Fraternal Order, I desire to become a meber thereof by________if found worthy. If admitted I promise to obey the laws and usages of the Order, and of your Grove. My residence is___________, Age__________, Occupation________. Health good. Respectfully, &c., ___________________________________________ Recommended by________________________, Refers to____________________. United Ancient Order of Druids
Saturday, December 31, 1870
AD/1235
