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TO THE MONARCHS AND THE PROHETS OF NO-RUZ GROTTO: The subscriber respectfully represents that he is a Master Mason in good standing and wishes to offer himself as a candidate for the mysteries of the Veiled Prophets of the Enchanted Realm, and if found eligible, promises to order and to the BY-LAWS OF NO-RUZ GROTTO. |
| ___________________________________________________________________________ |
(PRINT YOUR NAME IN FULL) |
| WHAT IS YOUR AGE_________________DATE OF BIRTH____________________________ |
| WHERE BORN__________________________________STATE OF____________________ |
| WHAT IS YOUR ADDRESS WHERE COMMUNICATIONS SHALL BE SENT: |
| __________________________________________________________________________ |
| __________________________________________________________________________ |
| YOUR RESIDENCE PHONE IS____________________________ |
| BUSINESS PHONE_____________________________________ |
| NAME AND NUMBER OF LODGE_______________________________________________ |
| LOCATED IN________________________________________________________________ |
| WHAT IS YOUR OCCUPATION__________________________________________________ |
| NAME AND ADDRESS OF BUSINESS____________________________________________ |
| ____________________________________________ |
| HOW LONG HAVE YOU RESIDED IN THIS STATE___________________________________ |
| HOW LONG IN CITY OR TOWN WHERE YOU NOW RESIDE____________________________ |
| HAVE YOU EVER, TO YOUR KNOWLEDGE OR
BELIEF, PRESENTED A PETITION TO, OR BEEN REJECTED IN ANY GROTTO OF VEILED PROPHETS_________________________ |
| IF SO, WHAT GROTTO________________________________________________________ |
| HAVE YOU EVER BEEN CONVICTED OF A FELONY?_____________________ |
| ______________________________________________________PETITIONER |
| (PLEASE GIVE NAME IN FULL) |
| PROPOSED, RECOMMENDED AND VOUCHED FOR |
| BYPROPHET___________________________________________ |
| DATE_____________________________ |
| INITIATION FEE AND 1ST YEAR'S DUES_____________________ |
| SIZE OF HAT__________________________ |
| SINGLE JEWEL FEZ - ADDITIONAL_________________________ |
| DOUBLE JEWEL FEZ - ADDITIONAL________________________ |
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