Orient of GA Petition For Membership (with payment)

Petition for Membership

Ancient & Accepted Scottish Rite of Freemasonry, S.J., U.S.A.
Full Name

First NameMiddle NameLast NameSuffix
Preferred Name
Please input your Zip code below and click the Enter Zip Code button to determine the recommended Valley for you based on your location. (Please note: DO NOT use the TAB key for this function)
Your Zip Code
Recommended Valley
According to your Zip Code, we recommend the Valley of {recommendedValley}.
Is this the Valley you would like to join?
Which Valley would you prefer to join?

To the Officers & Members of the Valley of {recommendedValley} in the Orient of Georgia:

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.
To the Officers & Members of the Valley of {whichValley} in the Orient of Georgia:

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.
Please click the arrows on the right and complete each section of the petition accurately and completely. To save and continue the form later, click the SAVE button at the bottom of the page. Once your petition is completed and submitted, it will be automatically sent to the Valley Secretary for further action.
- Residence Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- Is this your preferred mailing address?
- Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Preferred Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- What type of number is this?
- Secondary Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- What type of number is this?
- Primary Email Address
  
  Confirmation Emailexample@example.com
- Secondary Email Address
  
  Confirmation Emailexample@example.com
- Birth Date
  
  MonthDayYear
- Place of Birth
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Are you married?
- Spouse Name
  
  First NameLast Name
- Occupation
- What is your employment status?
- Employer Information
  
  Company Name
  
  Street Address Line 2
  
  CityState
  
  Postal / Zip CodeCountry
- Blue Lodge Information
  
  Lodge Name
  
  Blue Lodge Number
  
  City or TownState
  
  Zip CodeCountry
- I was raised to the Sublime Degree of Master Mason in the year:
- Have you passed your Master Mason's Catechism as required by your Grand Lodge
- Have you previously petitioned this or any other Scottish Rite body?
- Please explain which body you petitioned and why you were not made a Scottish Rite Mason.
- Cap Size
  Leave blank if unsure
- Ring Size
  Leave blank if unsure
- In order for your petition to be considered complete, you must be recommended by TWO Valley Scottish Rite members in good standing OR by the Worshipful Master or Secretary of your Blue Lodge.
- Recommending Valley Member 1
  
  First NameLast Name
- Valley Member 1 Email
  
  Confirmation Email
- Recommending Valley Member 2
  
  First NameLast Name
- Valley Member 2 Email
  
  Confirmation Emailexample@example.com
- I accept the following fundamental principles as required by the Supreme Council of the Ancient & Accepted Scottish Rite, Southern Jurisdiction for the United States of America.
  
  On my honor as a Master Mason, I attest the information on this petition is complete and accurate and that this petition is being made of my own free will and accord and without any hidden motives or agendas.
- Do you wholeheartedly approve of the inculcation of patriotism, respect for law and order, undying loyalty to the principles of civic and religious liberty, separation of church and state and protection of and respect for all individual rights as set forth in the Constitution of the United States of America?
- Signature
  
  Use your mouse to sign, or if you have a touch screen you can use your finger or stylus.
- The fee for initiation for this Orient-wide Reunion is $300.00 and covers your first year's dues, your reunion materials, 14th Degree ring and a copy of A Bridge To Light.
- How would you like to pay your fee?
- By clicking SUBMIT below, you will be taken to PayPal payment portal to pay your fees.
- Please bring a check for your initiation fees to the Valley on reunion day. If your fees are not paid in full BEFORE the reunion, you will not be able to recieve the degrees.
- Please verify that you are human
- Should be Empty:

Petition for Membership