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

    DDGM Information:

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    Lodge Information:

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    From: Day, Month, Date, Year, Time, and Location.

    Current per Lodges Bylaws.
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    To: Day, Month, Date, Year, Time, and Location.

    Move to new Day, Month, Date, Year, Time, and Location.
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    How Members Notified.

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    After you click submit, this form will be emailed to you as an attached PDF.