Petition for Dual Membership - Grand Lodge of Colorado
Petition for Dual Membership - Grand Lodge of Colorado
Petition for Dual Membership - Grand Lodge of Colorado
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PETITION FOR DUAL MEMBERSHIP BY AFFILIATION<br />
To the Worshipful Master, Warden, and Brethren <strong>of</strong> _____________________ <strong>Lodge</strong><br />
No. __________, A.F & A.M.<br />
The petition <strong>of</strong> the subscriber respectfully represents that he is a Master Mason in<br />
good standing in _________________________________ <strong>Lodge</strong> No. ________ located in<br />
the city <strong>of</strong> ___________________________________, State <strong>of</strong> ________________________,<br />
a Certificate <strong>of</strong> which, from the Secretary <strong>of</strong> said <strong>Lodge</strong> and a Certificate from the <strong>Grand</strong><br />
Secretary <strong>of</strong> the <strong>Grand</strong> <strong>Lodge</strong> <strong>of</strong> the State <strong>of</strong> _____________________________________<br />
accompanies this, his petition; and he now prays admission as a member <strong>of</strong> your <strong>Lodge</strong>,<br />
if found worthy.<br />
He further represents that he was born in _________________________________<br />
State <strong>of</strong> _____________________________, on the _______ day <strong>of</strong> ____________________,<br />
__________; that his occupation is ________________________; he has resided in this<br />
<strong>Grand</strong> Jurisdiction ___________months.<br />
He promises, if admitted, a cheerful obedience to the Constitution and By-laws<br />
<strong>of</strong> the Most Worshipful <strong>Grand</strong> <strong>Lodge</strong> <strong>of</strong> <strong>Colorado</strong> and the By-laws <strong>of</strong> your <strong>Lodge</strong>.<br />
Date __________________________, 20 _____.<br />
Recommended by:<br />
__________________________________<br />
____________________________________<br />
Name in Full<br />
X__________________________________<br />
Signature<br />
__________________________________<br />
Members <strong>of</strong> the <strong>Lodge</strong> and Fraternity<br />
who have known the petitioner <strong>for</strong> at<br />
least 30 days, one <strong>of</strong> whom must be<br />
a member <strong>of</strong> this lodge.<br />
____________________________________<br />
Residence Address<br />
____________________________________<br />
____________________________________<br />
Home Phone<br />
________________________________________________<br />
Business phone<br />
Form 48 (129-C) Rec. 2001
This Side to be Filled Out by the Secretary<br />
<strong>Lodge</strong> No.<br />
Ancient Free & Accepted Masons <strong>of</strong> <strong>Colorado</strong><br />
PETITION OF<br />
FOR DUAL MEMBERSHIP BY AFFILIATION<br />
RECOMMENDED BY<br />
<strong>Petition</strong> Received<br />
Date Date<br />
E.A. Degree ________________ Ex. ______________<br />
F.C. Degree ________________ Ex. ______________<br />
M.M. Degree _______________ Ex. ______________
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