St. Joseph, MO Petition For Membership (with payment)

Petition for Membership

Ancient & Accepted Scottish Rite of Freemasonry, S.J., U.S.A.
To the Officers & Members of the

Valley of St. Joseph in the Orient of Missouri:

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.
Are you attending either the special virtual or in person reunion?*

In PersonVirtual
Full Name*

First NameMiddle NameLast NameSuffix
Preferred Name
Add Your Photo
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.

Masonic Information
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*

YesNo
Have you previously petitioned this or any other Scottish Rite body?*

YesNo
Please explain which body you petitioned and why you were not made a Scottish Rite Mason.

Recommending Masons & Valley Secretary
In order for your petition to be considered complete, you must be recommended by TWO Valley members in good standing.
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

Initiation Fee
The fee for the special in person and virtual reunions is $100.
The fee for initiation in the Valley of St. Joseph is $150.00 and covers your first year's dues, your reunion materials.

If you would like to order a cap and box, please indicate below. Cap cost is $45, case cost is $38. Total cost (with initiation fee) is $233.
Would you like to order a 32nd degree cap and case?*

YesNo
Please Note: Your petition will not be considered complete until your check has been received. Please make your check in the amount of $150 (please include cap and case fees if applicable) payable to St Joseph Scottish Rite and mail to:

St Joseph Scottish Rite
515 North 6th Street
St Joseph, MO, 64501

Payment Options *

Valley of St. Joseph Full Initiation Fee PaymentValley of St. Joseph initiation Fee paid in full.

$150.00

Valley of St. Joseph Full Initiation Fee w/Cap & CaseFull Initiation Fee w/Cap & Case

$233.00 Quantity

Total

$0.00

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

Sign & Submit
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?*

YesNo
Signature*

Clear
Use your mouse to sign, or if you have a touch screen you can use your finger or stylus.
Please verify that you are human*
Should be Empty:

Petition for Membership