Form 141-S - Petition For Plural Membership

Download a blank fillable Form 141-S - Petition For Plural Membership in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 141-S - Petition For Plural Membership with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

ORDER OF THE EASTERN STAR OF TEXAS
__________________________
PETITION FOR PLURAL MEMBERSHIP
To the Worthy Matron, Officers and Members of ________________________________________Chapter No.____________, of Texas, Order of the Eastern Star.
I, ____________________________________________________________________________________________________, solicit affiliation with your Chapter.
If the petition be granted, I pledge myself to a cheerful obedience to the laws of your Chapter. This petition is accompanied by my DUPLICATE RECEIPT FOR
DUES FROM MY PARENT CHAPTER (IF A MEMBER IN TEXAS)
CERTIFICATE OF GOOD STANDING (IF FROM OUT OF STATE)
(Circle the one applicable) from______________________________________________
Chapter No. ________________ under the Grand Jurisdiction of _________________________, of which I am a member in good standing.
I have visited this chapter within the preceding twelve months.
I have resided within the State of Texas three (3) months, or ANOTHER Jurisdiction of __________________________ for three (3) months.
Do you belong to any order or organization making membership in the Order of the Eastern Star a requisite for membership there?__________
If so, give the name of such organization ___________________________________________________________________________
I understand and agree that Annual Dues must be paid in both the Parent Chapter to which I belong as well as in the Chapter in which I now seek
Plural membership. A member holding Plural membership who is suspended for non-payment of Dues in the Parent Chapter will ALSO be
suspended in the Plural Chapter. If suspended from a Plural Chapter for non-payment of Dues, the suspension would not affect the Parent Chapter.
Signed ___________________________________________
_____________________________________________
(Residence)
Recommended by _____________________________________________
_____________________________________________
(Telephone)
_________________________________________________
___________________________________, 20_______
If the petitioner is a Brother, the following must be filled in:
I am a member in good standing of _________________________________________________________ Lodge No. ___________A.F. & A. M., located at
______________________________________________________.
Notice: the name and address of the Secretary of the member’s Chapter must be designated below at the time of filing Petition of Plural Membership.
REPORT OF INVESTIGATING COMMITTEE
________________________________________, 20_________
_____________________ members of this Committee have visited and conversed with the petitioner since said petition was referred.
She/he is __________eligible. The Committee reports _________________________________________________________________________________________
(Signed)____________________________________________
_____________________________________________
_____________________________________________
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
NOTICE TO THE PARENT CHAPTER OF PLURAL MEMBERSHIP
___________________________20_________
_________________________________, Texas
To the Worthy Matron, Officers and Members of _____________________________________Chapter No. _________ O. E. S., State of _______________________:
______________________________________________Secretary
______________________________________________
______________________________________________,
Notice is hereby given you that _______________________________________________________________________, a member of your Chapter, has applied
to _________________________________________________Chapter No._________O. E. S. _____________________Texas.
for plural membership in said Chapter, and said application has been acted upon favorably by Said Chapter.
On ________________________________, 20_________, _____________________________________she/he became a plural member of this Chapter.
_________________________________________, Secretary
(SEAL)
_______________________________ Chapter No ________
Form 141-S
Revised 08/20/2013

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2