Online Petition

PETITION FOR INITIATION AND MEMBERSHIP

Scottish Rite Bodies

P.O. Box 18725 Huntsville, Alabama 35804

Name*

Mailing Address*

State

Zip

Email Address

Occupation

Employer

Date Of Birth

Message*

Place Of Birth

Spouse

No. Of Children

Blue Lodge No.

Date Raised

I, the undersigned, have resided in this jurisdiction For (enter number of years)

Have you ever Petitioned a Scottish Rite Lodge before?

"I believe in the inculcation of patriotism , respect for law and order, and undying loyalty to the principles of civil and religious liberty, the entire separation of church and state as set forth in the constitution of the United States of America."Wholeheartedly believing in forgoing, I respectfully petition to receive the 4th through the 32nd degrees.... Signature:

Date

Recommended By: Must be a member of the Valley of Huntsville

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Initation Fee is $175.00, to be paid before initiation. 5A minimum of $100.00 must accompany this petition.

..........................................................To be completed by Secretary.........................................................

Received______ Read________ Paid_______ Voted_______

VIRTUS JUNXIT MORS NON SEPARABIT

Online Petition