Page 5 - JHC 11 Membership Bio
P. 5
Most Excellent Prince Hall Grand Chapter, Holy Royal Arch Masons
Virgin Islands & Jurisdictions, Inc. P.H.A.
Petition for Membership ☐ or Reinstatement ☐
(Please Check One)
Date: ______________________
To the Officers and Companions of Chapter No.
Holy Royal Arch Masons, located in the City of
I (print name), am desirous of receiving the several degrees
of Capitular Masonry. I have not been rejected by any Royal Arch Chapter and I am without any
physical or mental defects, which as I am informed would preclude my Exaltation.
Mailing Address City & State
Zip
Contact Number E-mail Occupation
______________
DOB Current Age
I am a member in good and regular standing of__________________________________Lodge
No.__________
Location:___________________________
(Proof of Membership in the Lodge must be confirmed and a copy of accompany this Petition)
New Member Only
Have you petitioned for Exaltation in any Chapter of Holy Royal Arch Masons? Yes No
If yes, explain:
(Use Back of Form If Necessary, Please Print)
I petitioned Chapter No. Location
Donee: ________________ _________ Relationship:________________________
Recommended by Companions: 1._________________
/2.__________________/3.___________________
Reinstatement Only
