Loyal Order of Water Buffaloes Petition

I, the undersigned, hereby declare that I am a Noble in good standing or Member of the Clown Unit in Emirat Shriners.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Additional Petitioners*

LadyKidsNone

Sponsor and Submit
Sponsor must be a Water Buffalo.
Sponsor*

First NameLast Name
If I am found to be worthy, and my request to enter the Quarry is granted, I promise to conform to all the rules and bylaws and Ceremonies of the Loyal Order of Water Buffaloes Initiation and lifetime membership fee is €70.

KIDS ARE FREE

Bank Information for Emirat Shriners
BIC/SWIFT: PBNKDEFFXXX
IBAN: DE15 6601 0075 0506 2517 57
*Purpose/Verwendungszweck: LOOWB
Signature*

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