Petition for Plural Membership

Plural Memberhship

  • To the Worshipful Master, Wardens, and Brethren of Millersville Lodge No. 126 F. & A. M. Indianapolis, IN
  • THE PETITION of the subscriber respectfully represents that he is a Master Mason in good standing in
  • Name, Lodge No. & State
  • Name, Lodge No. & State
  • Name, Lodge No. & State
  • and hereby petitions for plural membership in Millersville #126
  • If found worthy, he pledges himself to a cheerful compliance with the by-laws of Millersville Lodge No. 126 and to the usages and customs of the Fraternity.
  • Birth Date
  • The subscriber acknowledges that, if elected, he shall be entitled to all the rights, and subject to all the obligations, of each Lodge in which he holds membership, except that he shall not hold the office of Worshipful Master or Warden in more than one Lodge at the same time. He acknowledges further that involuntary loss of membership in one Lodge shall have a like effect in the others.
  • Place of Birth (City/State/Zip)
  • Referred to the following committee:
  • Referred to the following committee:
  • Referred to the following committee:
  • Disposition
  • (Petition and questionnaire to be filled out in detail and signed by petitioner in his own handwriting)
  • Residence Phone #
  • Business Phone #
  • If so, in what Lodge is (or was) his membership?
  • Are any of your brothers Masons?
  • If so, give their names, addresses and names and locations of their Lodges