Petition For Reinstatement Form

PETITION   F OR   R EINSTATEMENT  

 

To   t he   E xcellent   H igh   P riest,   K ing   a nd   S cribe,   a nd   C ompanions   o f    

_______________________________     R oyal   A rch   C hapter   N o.   _ _______,  

located   a t   _ ___________________________,   V irginia.  

I,   t he   u ndersigned,   ( print   f ull   n ame):   _ _____________________________________________________________,  

being   d esirous   o f   r einstatement   t o   t he   r ights   a nd   p rivileges   o f   R oyal   A rch   M asonry,   d o   h ereby  

submit   t his   P etition   f or   R einstatement.     I   f urther   s tate   t hat   i f   r einstated   t o   m embership,   I   w ill  

cheerfully   c onform   t o   a ll   t he   r equirements   o f   R oyal   A rch   M asonry   i n   g eneral   a nd   t his   C hapter   i n  

particular.  

 

I   w as   s uspended   f or   n onpayment   o f   d ues   i n   _ _________________________   C hapter   N o.   _ _______.  

I   a m   n ow   d esirous   o f   b eing   r einstated   a s   a   m ember   o f   _ _________________________   C hapter   N o.   _ _______.  

I   a m   a   m ember   i n   g ood   s tanding   o f   _ _________________________   L odge   N o.   _ _______,   l ocated   a t  

____________________________,   V irginia.  

 

Last   N ame:   _ ___________________     F irst   N ame:   _ ___________________     M iddle   N ame:   _ ___________________  

Mailing   A ddress:  

______________________________________________________________  

 

 

 

______________________________________________________________  

Date:   _ ________________               S igned   ( usual   s ignature):   _ _______________________________________________  

 

 

Recommended   a nd   v ouched   f or   b y:  

Companion:   _________________________________________     M ember   o f   _ _________________________________  

 

 

_________________________________________     M ember   o f   _ _________________________________  

Fee   a ccompanied   w ith   t his   P etition   $   _ _______________  

Date   P resented:   _ __________________________    

Date   R einstated:   _ __________________________