Correspondence Courses Registration
Email *
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Phone
xxx-xxx-xxxx i.e. 123-456-7890
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Title *
Select
First
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Middle
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Last
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Suffix
i.e. Jr, Sr, II,
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Address
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Address 2
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City
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State
i.e. VA
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Zip Code
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Membership ID
Your Grand Lodge Membership ID Number can be found on your dues card. Example: 0123-4567
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Lodge Name *
Example: Fredericksburg
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Lodge Number *
Example: 22
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District
Masonic District Number. i.e. 1A or 3 or 54, etc.
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Officer
Are you currently an Officer in a Lodge?
Office
Office currently held? DDGM, Master, Senior Warden, Junior Warden, Treasurer, Secretary, Senior Deacon, Junior Deacon, etc.
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Course I *
I wish to take course I?
Course II *
I wish to take course II?
Course III *
I wish to take course III?
Course IV *
I wish to take course IV?
Payment *
Select payment type. Pay online now with a credit card, or mail your payment by check. After you submit this form, you will receive an email with instructions on how to pay.
Comments
Your answer
After you click "Submit" you will be provided with a link so you can pay online with a credit card. After checkout, you will be provided with the password(s) needed for each course you elected to take.

At PayPal check-out, you must click on the "Return to merchant" link to be redirected to the webpage that has the password(s).
Submit
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