Limited Dispensation Form
Grand Lodge, A.F. & A.M., of Virginia. 4115 Nine Mile Road Richmond, Virginia 23223-4926
Grand Secretary, Alan W. Adkins, PGM 804-222-3110
grandsecretary@glova.org
District Deputy Grand Masters
http://ddgm.vamasons.org
REV. E04-15
* Required
DDGM Information:
Email
*
Your email address. The form will be emailed to all email addresse(s) entered. Comma "," separated.
Your answer
Name
DDGM full name
Your answer
District
Masonic District No. i.e. 3, 54, 1B. Do not use St. Nd. Rd.
Your answer
Lodge Information:
Worshipful Master
Worshipful Masters full name
Your answer
Lodge Name
Name only. Do not use "Lodge"
Your answer
Lodge Number
i.e. 123. Do not use No. or #.
Your answer
From: Day, Month, Date, Year, Time, and Location.
Current per Lodges Bylaws.
From Day
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday (Not allowed. Methodical Digest)
From Month
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January
February
March
April
May
June
July
August
September
October
November
December
From Date
i.e. 3rd, 13th, 23rd
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From Year
i.e. 2000 yyyy
Your answer
From Time
i.e. 7:30pm
Your answer
From Location
Town or City (current communication location as in bylaws)
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To: Day, Month, Date, Year, Time, and Location.
Move to new Day, Month, Date, Year, Time, and Location.
To Day
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Choose
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday (Not allowed. Methodical Digest)
To Month
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Choose
January
February
March
April
May
June
July
August
September
October
November
December
To Date
i.e. 3rd, 13th, 23rd
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To Year
i.e. 2000 yyyy
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To Time
i.e. 7:30pm
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To Location
Town, City or Place. "Same" if no change
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How Members Notified.
This change was communicated to the members by
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Select all that apply
Email
Phone
Trestleboard
Bulletin
Other, see comments below
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Comments
i.e. reason for request ("severe weather") and other comments
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