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Working draft:
this is a placeholder petition form, not the Grand Lodge’s official document. Replace with the official petition for degrees if one exists.
Alsen Pride Lodge No. 253
Petition for the Degrees of Freemasonry
Full Legal Name
Date of Birth
Phone
Email
Home Address
Occupation / Employer
Referred By (member name)
Why do you wish to become a Freemason?
Signature of Applicant
Date