Online Petition Info Form

In order to properly create a custom online form for your Valley, please fill out the information below. THIS FORM SHOULD ONLY BE FILLED OUT BY A VALLEY SECRETARY OR PERSONAL REPRESENTATIVE.

Does your Valley currently have an online petition generated by Membership Services?

Please explain any issues you are having with your current online petition (Examples- Payment issues. Info not generating into Sentinel).

Orient & Valley

OrientValley

Your Name

First NameLast Name

SR Rank

Your Email

example@example.com

Your Valley Role

Does your Valley have its own website?

Please paste your Valley's Web address here:

Does your Valley have a preferred logo to use for the header of the petition?

Please upload your Valley logo here

Petitions will be delivered to the Valley via email, with inline text & a PDF of the petition. Please list the email addresses to which the petitions should be delivered (up to 5).

For example, the Secretary email, the office email, the PR email and so on.

Valley Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your Valley's initiation fee?

In addition to the degrees & Scottish Rite Patent, what is included in your initiation fee? (check all that apply)

Do you want your petitioners to have the option of splitting the initiation fee into 2 or 3 payments?

How should checks be made payable?

Please list any petition characteristics that may be unique to your Orient, Valley or Grand Jurisdiction.