Form 126-S - Petition For Reinstatement
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1Grand Chapter of Texas
Order of the Eastern Star
PETITION FOR REINSTATEMENT
(By Brother Suspended from His Masonic Lodge)
Date___________________, 20_______
To the Worthy Matron, Officers and Members of __________________________Chapter No. ………. of Texas,
Order of the Eastern Star:
The undersigned, formerly a member of …………………….Chapter No……………, respectfully petitions for
reinstatement, having been suspended from his Masonic Lodge on or about the ……………...day of ………………….,
20……….., but having been restored to and now being in good standing therein. He is now desirous of being restored to
all former rights and to membership in said Chapter.
The sum of $ …………….., which is the full amount required for reinstatement in this Chapter, accompanies this
petition.
Signed ……………………………………………….
Recommended by
………………………………………….
………………………………………….
Referred to the following committee:
………………………………………………...
………………………………………………..
..……………………………………………….
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
REPORT OF THE COMMITTEE
Date ___________________, 20_______
We, your Committee on Petition for Reinstatement of _____________________________________________, report
______favorable to the acceptance of this petition and to _________________being restored to all former rights and to membership
in this Chapter.
Signed:
____________________________________
____________________________________
____________________________________
Form 126-S
Revised 08/20/2013
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