Galveston Valley of the Scottish Rite Membership Petition
PLEASE FILL OUT ALL FIELDS IN THE FOLLOWING FORM.

YOUR INFORMATION WILL REMAIN SECURE, PRIVATE, AND CONFIDENTIAL.

* IMPORTANT: PLEASE HAVE ANY RECOMMENDING SCOTTISH RITE BROTHERS E-MAIL galtxsr@comcast.net TO CONFIRM THE RECOMMENDATION.

We will notify you when your application is received, once it gets approved you will be emailed a link to pay your $275 induction fees. Thank You!
I am a Master Mason in good standing, and respectfully petition to receive the Fourth through Thirty-Second degrees, promising to bear true faith and allegiance to The Supreme Council of the Thirty-Third Degree for the Southern Jurisdiction of the United States of America.
Do you affirm the above statement? *
Full Name (Last, First, Middle) *
Residence Address (Number, Street, City, State, ZIP) *
Preferred Mailing Address (If different from above)
Date of Birth and Place of Birth *
Telephone *
Email Address *
Are you Married? *
Spouse's Name
Occupation and Employer *
What Lodge do you belong to? *
Where is your Lodge located? *
How long have you been a Master Mason? *
Have you completed your Master Mason memory work? *
What is your hat size? *
You must be recommended by TWO members of the petitioned Valley, please list your recommenders below.
If you do not have any recommenders please contact the Galveston Valley Offices at galtxsr@comcast.net and leave the below fields blank for now.

* IMPORTANT: PLEASE HAVE ANY RECOMMENDING SCOTTISH RITE BROTHERS E-MAIL galtxsr@comcast.net TO CONFIRM THERE RECOMMENDATION OF YOU.
Recommending Member No 1. (Full Name)
Recommending Member No 2. (Full Name)
Thank You! Please double check your answers and click the submit button below when you are complete.
We will notify you when your application is received, once it gets approved you will be emailed a link to pay your $275 induction fees.
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