Form 140-S - Certificate Of Good Standing

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ORDER OF THE EASTERN STAR OF TEXAS
Certificate of Good Standing
TO THE WORTHY MATRON AND MEMBERS OF ___________________________NO.___________
LOCATION IN_______________________________________,_____________________________.
STATE
THIS WILL CERTIFY THAT (SISTER) (BROTHER) ____________________________________
IS A MEMBER OF________________________________CHAPTER NO.______________, LOCATED
IN__________________________________________________________SAID MEMBER IS IN GOOD
STANDING, WITH CURRENT DUES PAID TO THE DATE OF_________________________________.
FURTHER, THIS WILL AFFIRM THAT THE GRAND JURISDICTION OF____________________
DOES RECOGNIZE PLURAL MEMBERSHIP WITH THE GRAND JURISDICTION OF
TEXAS.
______________________________
CHAPTER SECRETARY
Chapter Seal
______________________________
DATE
This Certificate of Good Standing for the purpose of Affiliation by Plural Membership expires automatically within 90
days from the date signed by the Secretary.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Do Not Detach this portion until action has been taken on the Plural Membership Petition. Then, this portion
should be completed and returned to the Chapter above, indication action taken on the Petition.
THE PETITION FOR AFFILIATION BY PLURAL MEMBERSHIP RECEIVED FROM (SISTER) (BROTHER)
__________________________________ON_____________________________WAS RECEIVED BY
__________________________________CHAPTER NO.__________________AND SAID PETITIONER
ELECTED TO PLURAL MEMBERSHIP.
IT IS RESPECTFULLY REQUESTED THAT THIS CERTIFICATION OF PLURAL MEMBERSHIP BE KEPT
IN YOUR FILE, AND SHOULD THE NEED ARISE, THE ABOVE TEXAS CHAPTER BE NOTIFIED OF
ANY CHANGE IN STATUS OF MEMBERSHIP OF (SISTER) (BROTHER)
____________________________________.
___________________________________
CHAPTER SECRETARY
(
SEAL)
___________________________________________
DATE
Form 140-S
Revised 08/20/2013

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