I am a Master Mason in good standing, and desire to receive the degrees of Royal Arch Masonry and become a member of this Chapter. (Use additional sheets of paper, not the back of this petition, if you need more space to answer any questions.)

Print your full legal name

Print your name as you are usually addressed, and as you want it to appear on Chapter correspondence

Print your address

Print your home phone number

Print your work phone number

If you have one, print your fax number where you can receive faxes from the Chapter

If you have one, print your email address where you can receive messages from the Chapter

How long have you resided in the greater Washington area?

List all the Craft (Blue) Lodges to which you currently belong

If you ever belonged to other Craft Lodges, which ones, what were the circumstances of your leaving, and when did you cease to belong? 

Print your full date of birth

Current age?

Where were you born?

What is your occupation?

For how long?

Print the name of your place of business

Print the address of your place of business

Do you know of any reason, physical, legal, or moral, which should prevent you from receiving the degrees of Royal Arch Masonry, and which, if applicable to another person, would cause you to pass adverse judgment on the application of such person for membership in this Royal Arch Chapter?

Have you ever applied for the degrees conferred in Royal Arch Chapters in this or any other Royal Arch jurisdiction?

If so, when and where?

I have honestly, fully, and truthfully answered the questions in this petition, and I promise that if my petition is granted, I will cheerfully conform to all the laws, regulations, and usages of ________________________ Chapter No.______, and the Grand Chapter of Royal Arch Masons of the District of Columbia.

Signature

Date

The fee for the Royal Arch degrees is $40. At least $10 must accompany this petition.

Printed names and signatures of recommenders

(1)

(2)