Name or Address Change
Use this form to report name, address, or phone number changes to the Grand Treasurer General of United States Grand Lodge, Ordo Templi Orientis. The email address you supply will be used to contact you if there are any questions about your change request.
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Email *
Old or current information
Fill out all required fields in this section with your old or current information. Changes go in the next section.
Full name *
Degree *
Highest whole number
Address *
Old phone number, or current phone number if not changed.
Changed information
Fill out only those fields below which differ from what you entered above.
New name
New address
New phone
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