Acacia Guild Sign-up Form

Join the Acacia Guild

This program recognizes all Scottish Rite, SJ, members who join by making a $1,000 cash contribution in the Acacia Guild, either via a one-time payment or 12 monthly installments. If you are not a Scottish Rite member and would like to make an online gift, please use our Make a Gift form.

Please complete the form below to join the Acacia Guild, using a major credit card.

If you would like to make your payment via ACH withdrawal or if you need assistance with this form, please contact the Development Office at development@scottishrite.org. Please do not email any financial information.

Thank you for giving to our Scottish Rite foundations and the charitable efforts they support!

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Your Name *

First Name Last Name Suffix
Scottish Rite Degree *

32° 32°, KCCH 33° 33°, Grand Cross
Valley *
Orient *
Gift Code

Payment Information

How would you like to pay for your annual membership? *

One-Year Membership: Pay in Full Now

$ 1,000.00 one-time payment

One-Year Membership: Pay in 12 Monthly Installments

$ 83.33 for each month

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Your Email Address *

Confirmation Email Your payment receipt & acknowledgment email will be sent to this address.
Please email me when my membership is about to expire. *

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