N.c Offical Form 37 - Request To Have Degrees Conferred By Another Lodge

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Request To Have Degrees Conferred By Another Lodge
____________________Lodge No.
,A.F.&A.M.
______________________,N.C., ____________________,20________
To the Master, Wardens and Members of
______________________________ Lodge No._____
at ____________________________
,
(Notes 1 and 2)
degree
You are fraternally requested to confer the
in Masonry on our candidate whose
(Note 3)
name and means of identification are given below. He has been duly elected to receive the degrees, and he is
and
now living in the vicinity of your lodge. Both he
our lodge will greatly appreciate this courtesy. He received the
degree on _______________________________
____________________
_
(Note 3)
(Date & Year)
His full name________________________ __________________________ ___________________________________
(First Name)
(Middle Name)
(Last Name)
His occupation_____________________________________________________________________________________
His present address: _____________________________________________City, St and Zip______________________
He was born ___________________________,at _________________________________________________________
(Date & Year)
His fathers full name: _________________________ _________________________ ______________________
(First Name)
(Middle Name )
(Last Name)
_____________________________________________________________
His mother’s maiden name
(First Name)
(Middle Name)
(Last Name)
His wife’s maiden name: ___________________________________________________________________________
(First Name)
(Middle Name)
(Last Name)
Home Phone ______________________
Business Phone ________________________________
Mobile Phone _____________________
Email ________________________________________
All fees and other charges are paid; there is nothing to collect.
and
Kindly notify the undersigned immediately after each degree is conferred
give-the-date thereof.
Should there be any charge for this work please notify us before complying with this request.
____________________LodgeNo. ____________,A.F.&A.M.
By
Secretary
, _______________________________________________________________________
(Address for Mail)
Approved:
______________________________________________________
North Carolina
Master _________________________________
(SEAL OF LODGE HERE)
NOTES:
1. If the request is to be made upon any lodge located outside of North Carolina, the original and two copies of this form must
be forwarded through the office of the Grand Secretary of North Carolina.
2
If the request is to be made upon a lodge located within North Carolina the original may be forwarded direct to that lodge
NOTES: 3. If all three of the degrees are to be conferred, say here three. If only one or two of the degrees are to be conferred, then say
here second, or third, or second and third, as the case may be; then show below in the proper place the date the preceding
degree was conferred.
4. Do NOT send a copy of this form to the candidate.
5. The printed part of this form shall not be changed.
(71-10; 71-10.2)
N.C Offical Form 37
Updater 5/2010

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