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Azim Grotto Petition
PETITION FOR INITIATION AND MEMBERSHIP
AZIM Grotto
Mystic Order of Veiled Prophets of the Enchanted Realm
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Email
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Record my email address with my response
What is your Email Address:
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Your answer
To the Monarchs and Prophets of AZIM Grotto:
This subscriber respectfully represents that he is a Master Mason in good standing and wishes to offer himself as a candidate for the mysteries of the Veiled Prophets of the Enchanted Realm, and if found eligible, promises to cheerfully conform to all the established usages, customs, and regulations of the Order and to the By-Laws ofAZIM Grotto.
Type your Legal name in Full Below. (No Initials)
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Your answer
What is your age?
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Your answer
What is your date of birth?
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MM
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DD
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YYYY
Where were you born? City and State.
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Your answer
What is your mailing address?
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Your answer
How long have you resided in this State?
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Your answer
How many years at your current residence?
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Your answer
Best phone number to reach you is:
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Your answer
What is your occupation?
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Your answer
Name and address of your Employer:
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Your answer
Name and Number of your Lodge
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Your answer
Lodge is Located in what City and State?
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Your answer
What is your hat size?
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6-3/4"
7"
7-1/4"
7-1/2"
7-3/4"
Other:
Have you ever, to your knowledge or belief, presented a petition to, or been rejected in any Grotto of Veiled
Prophets? Yes ☐ No ☐ If so, what Grotto?
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Have you ever been convicted of a felony?
Yes
No
Clear selection
Proposed, Recommended and Vouched for by Prophet:
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Your answer
Send me a copy of my responses.
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