At a meeting of the Bethel Guardian Council of Bethel No. ________ at ________________________________________
City (State/Prov./Terr)
held on, ___________________, those listed below were selected by majority vote to be recommended as Executive
(Date)
members of our Bethel Guardian Council. Their Masonic relationship has been verified.
(PLEASE PRINT OR TYPE)
BETHEL GUARDIAN
Name
Masonic Relationship
Address
Masons/
Maj. Member's Name
City/St/Zip
Member of Lodge/Bethel
E-Mail
Location
CAV # &
if Maj. Member
Expiration Date
Maiden Name
ASSOCIATE BETHEL GUARDIAN
Name
Masonic Relationship
Address
Masons/
Maj. Member's Name
City/St/Zip
Member of Lodge/Bethel
E-Mail
Location
CAV # &
if Maj. Member
Expiration Date
Maiden Name
GUARDIAN SECRETARY
Name
Masonic Relationship
Address
Masons/
Maj. Member's Name
City/St/Zip
Member of Lodge/Bethel
E-Mail
Location
CAV # &
if Maj. Member
Expiration Date
Maiden Name
GUARDIAN TREASURER
Name
Masonic Relationship
Address
Masons/
Maj. Member's Name
City/St/Zip
Member of Lodge/Bethel
E-Mail
Location
CAV # &
if Maj. Member
Expiration Date
Maiden Name
GUARDIAN DIRECTOR OF MUSIC OR
GUARDIAN DIRECTOR OF EPOCHS
Name
Masonic Relationship
Address
Masons/
Maj. Member's Name
City/St/Zip
Member of Lodge/Bethel
E-Mail
Location
CAV # &
if Maj. Member
Expiration Date
Maiden Name
We trust that you will approve the recommendations of the Executive members listed above and the Associate Members
listed on the reverse side.
Form 222-Revised 5/10