Santa Monica Bay York Rite Petition

Santa Monica Bay York Rite Petition

Please fill out this form to submit your petition for the York Rite.
Full Name

First NameMiddle NameLast NameSuffix
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
I have lived in California since

MonthDayYear
(6 months required for Chapter, 1 year for Commandery)
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Marital Status
Spouse's name
Date of Birth

MonthDayYear
Place of Birth
I am a member in good standings of Lodge Name* Lodge No. Lodge No.* located in City*, State* * having received the Degree of Master Mason in Lodge Name* Lodge No. Lodge No.* on Date* , in the State of State* *.
If so, state when and by which Chapter, Council, or Commandery?
If Affiliating, Current Bodies Name/No./Location?
Chapter Name/No./Location, Council Name/No./Location, Commandery Name/No./Location
Mark Master ONLY (no fee)
Degrees/Orders Requested?
Why do you wish to join the York Rite?
Recommender #1
Full Name
Recommender #2
Full Name
I now, of my own free will, respectfully request that the Degree and/or Orders of the York Rite of Freemasonry be conferred upon me and that I may become a member of the respective Chapter, Council and/or Commandery named above. Should my petition be granted, I promise cheerful compliance with all the Ancient Customs and Usages, Statutes, Laws, Edicts, and Regulations of the Body(ies) petitioned.
I have read this petition, completing all required information and statements, now sign my name in full thereto:
Degree Fees
- $45 - Santa Monica Bay Royal Arch Masons No. 97
- $35 - Alpha Council No. 39, Cryptic Masons
- $125 - Santa Monica Bay Commandery No. 61, Knights Templar
Please prepare separate checks for each body or make electronic payments at https://smbyorkrite.org/dues/
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Should be Empty: