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.

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)
Your answer
Residence Address (Number, Street, City, State, ZIP)
Your answer
Preferred Mailing Address (If different from above)
Your answer
Date of Birth and Place of Birth
Your answer
Telephone
Your answer
Email Address
Your answer
Are you Married?
Spouse's Name
Your answer
Occupation and Employer
Your answer
What Lodge do you belong to?
Your answer
Where is your Lodge located?
Your answer
How long have you been a Master Mason?
Your answer
Have you completed your Master Mason memory work?
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 galvestonscottishrite@hotmail.com and leave the below fields blank for now.
Recommending Member No 1. (Full Name)
Your answer
Recommending Member No 2. (Full Name)
Your answer
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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