Joining Form
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Joining Form |
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I |
| hereby apply to be elected as a member of the United Masters Lodge No. 167, and I enclose $40.00 to cover one year's dues. |
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cheque |
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Visa |
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Mastercard |
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Cheque or card number
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| Card expiry date: | __________ | / ___________ | / _______ |
| Dated this | _________________ | day of | ______________________ | 2002 |
| Signature |
________________________________________________________ |
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Master Mason |
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Installed Master |
| Lodge name, number, Constitution |
__________________________________________________________ |
| Mailing
address
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| Please print this form and send to the Secretary: Alan Bevins, 36 Murphys Road, Manukau, 2016, New Zealand |
| Back to Joining details | Back to Secretary's Page | Fwd to Library/Museum |