I . W. GRAND LOlMiK ^licitnt, /ice, Mb ^cttptei SElasons, A i/ro \

APPENDIX D.
FORMS.
NO. I.
Proxy of Master and Wardens, or either of them.
We, tho Master and Wardens, (or I, A. B., Master, S. W. or J. W.,)
Lodge, No. , do hereby appoint Brother C. D. our (or my) represen­
tative in the 0. Lodge of Illinois, at the Annual Communication, to be bolden
in Springfield, on the first Monday in next, (or inst.,) empowering him
to act on our (or my) behalf, hereby ratifying and confirming whatsoever hs
may lawfully do in said capacity.
Given under our hands (or ray hand) and seals, (or seal) at , 111-,
this day of , A. L. 585—.
NO. II.
A. B., Master, [SFAL.]
C. D., S. W., [SEAL.j
E. F., J. W., [SEAL.]
or G. U., Master, [SEAL.] Ac.
Form of Petition for Dispensation of new Lodge.
We, the undersigned, Master Masons in good standing, having the p
perity of the Craft at heart, are anxious to exert our best endeavors toproi i
and diffuse the genuine principles of Free Masonry; and, that fuller op
tunity for the same may be afforded us. are desirous of forming a new L<
to bo named . We, therefore, having, for this purpose regul
withdrawn from the Lodge (or Lodges), with which we have been corme
with the approbation and recommendation of Lodge, No. —, being a
nearest (in) our place of residence, respectfully pray for a Dispensal
empowering us to me. t as a regular Lodge, at , on tbe of ev r
month, and there to discharge the duties of Free Masonry, in a constitutio i
manner, according to the original forms of the Order, and the Laws of h
Grand Lodge. We do nominate and recommend Brother A. B. to be thefin
Master, Brother C. D. to hi the first Senior Warden, and Brother E. F. to b