Condolence Form
This form has been created to allow the members to inform Grand Lodge of a member that have passed. This is done in an effort for the Condolence Committee to contact the Bereaved Families and inform our members of the arrangements for the Dearly Departed.
What is the first name of the Departed Member/Relative? *
What is the last name of the Departed Member/Relative? *
What Lodge is the deceased member affiliated to? If the deceased is a family member of a Brother, provide the name of the Brother and the Lodge he is affiliated with. *
When did the Member/Relative past? *
MM
/
DD
/
YYYY
When are the services?
MM
/
DD
/
YYYY
Where will the services be held?
Where should condolence be sent?
What is a contact number for the Departed Family?
What is your name? *
This is required in case we need to contact you for more information as need.
What is your phone number? *
This is required in case we need to contact you for more information as need.
What is your email address? *
This is required in case we need to contact you for more information as need.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy