Reporting Forms for Members

About Masonry:

2150 Masonic Way
Forest Grove, OR 97116
(503) 357-3158
(800) 970-9920
Office hours: 8:00 am to 5:00 pm M-F

Date of request:	Month Day Year
Lodge Name & Number:
Your Full Name:
Title
Please furnish a Hiram Award for Brother:
Full Name:
	who was, at a Stated Communication held on elected to receive this award by a written secret ballot. We plan to present the award to him on . The Brother is receiving the Hiram Award for the year:
I am finished and ready to send this information to the Grand Lodge. Press below to send. If you have comments or questions about completing this form please call us or e-mail the Grand Secretaries Office Thank you!