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

Please be sure to fill out the form before submitting

Report Administration

Date of this report:
Lodge Name & Number:
Report Month:
Your Full Name:
Title
The following Petitions were received and are due for Ballot on (Date)
Petition Report No. 1
Full Name:
DOB:
Place Birth:
Complete Address:
Social Security No.
Phone No.
Occupation:
DeMolay:	Yes No
Special Skills:
Military Branch	Highest Rank
Hobbies
Petition Report No. 2
Full Name:
DOB:
Place Birth:
Complete Address:
Social Security No.
Phone No.
Occupation:
DeMolay:	Yes No
Special Skills:
Military Branch	Highest Rank
Hobbies
Petition Report No. 3
Full Name:
DOB:
Place Birth:
Complete Address:
Social Security No.
Phone No.
Occupation:
DeMolay:	Yes No
Special Skills:
Military Branch	Highest Rank
Hobbies
Petition Report No. 4
Full Name:
DOB:
Place Birth:
Complete Address:
Social Security No.
Phone No.
Occupation:
DeMolay:	Yes No
Special Skills:
Military Branch	Highest Rank
Hobbies
Petition Report No. 5
Full Name:
DOB:
Place Birth:
Complete Address:
Social Security No.
Phone No.
Occupation:
DeMolay:	Yes No
Special Skills:
Military Branch	Highest Rank
Hobbies
Petition Report No. 6
Full Name:
DOB:
Place Birth:
Complete Address:
Social Security No.
Phone No.
Occupation:
DeMolay:	Yes No
Special Skills:
Military Branch	Highest Rank
Hobbies


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