PETITION
To the Worshipful
Master, Wardens, and Brethren of GiIkey Lodge #
101, N.H.
I,
..................................................................................
(Name In Full)
a
resident of
.
(Street)
.
..
(Town
or City)
(State)
(Zip)
(Phone)
hereby
voluntarily off myself as a Candidate for the mysteries of Freemasonry. I
declare upon my
honor that I am not influenced by mercenary or unworthy motives, being
prompted by a
favorable opinion of the Institution and a sincere wish to be serviceable
to my fellow creatures.
I
promise, if accepted, a cheerful obedience to the By-laws of your lodge. To the
requirements of the M. W. Grand Lodge, and to the ancient usages of the craft.
I
was born in the town of
. in the state
of
..
On the
. day of
,A. D. 19
I have... . . . . .. applied to any other Lodge for the
degrees of Masonry, in this or any other jurisdiction.
..........................................................
(Sign Full Name)
We, members of Gilkey Lodge # 101 are
personally acquainted with the above applicant, and
.....................................................................
......................................................................
......................................................................
Note:
The name of the applicant must be given in full, including the middle name. The
full fee must accompany the application.
The applicant must have resided in the State of NH for at least twelve months
next preceding the date of this application. If he resides outside the State of
NH, a Waiver of jurisdiction must first be obtained before action can be taken
on his petition. The petition must be signed by at least two members of the
Lodge.