M.E. St. Andrew G.C., HRAM Petition

The Most Excellent St. Andrew Grand Chapter

of Holy Royal Arch Masons

of The State of Indiana

PETITION

ROYAL ARCH MASONS (PHA)
New PetitionerReinstatement
The Petition of the subscriber (Enter Full Name Here)*
Petitioner Address*

Street Address Line 2

CityState

Zip Code
Petitioner E-mail*
example@example.com
Age*
respectfully showeth that he is a MASTER MASON in good standing of (Choose Lodge name) here*
(Choose Lodge #) here, Prince Hall F. & A. M. and is desirous of receiving the Degrees of Royal Arch Masons, if found worthy.*
, Prince Hall F. & A. M. and is desirious of receiving the Degrees of Royal Arch Masons, if found worthy.
HRAM Chapter your Joining*
Date of Birth*

MonthDayYear
Date
Last 4 of SSN
Phone No*
Occupation*
Donee
Address*

Street Address Line 2

CityState

Zip Code
Signature*
Date*

MonthDayYear
Date
Petition Fee
Payment Method*

Cash/Cash AppCheck/Money Order
Check # if applicable
Recommended By Companion
Recommended Companion Phone Number
Please enter a valid phone number.
Recommended By Companion
Recommended Companion Phone Number
Please enter a valid phone number.
Recommended By Companion
Recommended Companion Phone Number
Please enter a valid phone number.
Date

MonthDayYear
Should be Empty: