M.I. Alan W White Sr, P.H.G.C., R.&S.M. Petition

M.I. Alan W White Sr P.H.G.C. R.&S.M. Petition

FOR MEMBERSHIP
Full Name*
Address*
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Phone (H)
Phone (W or Cell)*
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To the Thrice Ill. Master and Companions of:
Royal & Select Council you are petitioning*
Royal & Select Council City & State you are petitioning*
ROYAL AND SELECT MASTERS
M.I. Alan W White, Sr Prince Hall Grand Council,

Royal & Select Masters,

State of Indiana, PHA
The petition of the above-named petitioner respectfully showeth that he is a Prince Hall Royal Arch Mason in good standing of or is joining the below HRAM Chapter*
Select the HRAM Chapter you are a member of or that you are joining
Subordinate HRAM Chapter Located at (city/state)*
Select the City and State that the HRAM Chapter is in
and is desirous of receiving the Degrees of Royal and Select Masters, if found worthy, a fee of*
is presented with this petition.
DOB MM (ex. 01)*
DOB DD (ex. 25)*
DOB YYYY (ex. 1969)*
Occupation
Hat size (ex. 7 1/8)*
Beneficiary: Relation
Name
Phone Number
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Beneficiary Residence

As stated aboveOther: Location
Other Location Address
Petitioner’s Signature*
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M.I. Alan W White Sr P.H.G.C. R.&S.M. Petition