Petition For Membership - Michigan Jobs Daughters Form

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JOB’S DAUGHTERS INTERNATIONAL
Petition for Membership
(Bethel Recorder reads only information in this box at Bethel Meeting)
To the Honored Queen, Officers and Members of Bethel No. ______ of _______________________________
(Location)
Name: ________________________________________________________ Age: _______________________
I claim eligibility to membership in Job’s Daughters International because I am the _______________________ of
____________________________ , a Majority Member of Bethel No. _____ of _____________________________ ; or
(Location)
_______________________________ a Master Mason in _______________________________________________
(Lodge Name, Number and; Location.)
who was in good standing, at the time of death, or so related to his wife or widow.
After diligent and exhaustive search Masonic relationship cannot be verified for my Petition. I am sponsored by
___________________________ , a Majority Member of Bethel No. ____ and ____________________________
a Master Mason of _________________________________________________
(Lodge Name, No. and Location)
Signature of your recommenders: ___________________________________________________________________
and ________________________________________________________________________________________
The initiation fee of $_____________ accompanies this petition.
Address: ____________________________________________________________________________________
City: _____________________________ State ____________________ Zip/Postal Code: ________________
Phone No.: __________________________
Email: ________________________________________________
Place and date of birth: _____________________________________________________________________________
I attend school at: _________________________________________________________________________________
Father’s full name: _________________________________________________________________________________
Address (if different from Petitioner) __________________________________________________________________
Mother’s full name: _______________________________________________________________________________
Address (if different from Petitioner) __________________________________________________________________
Have you previously petitioned a Bethel of Job’s Daughters? ______________________
If rejected, state number and location of Bethel: _________________________________________________________
Address of person through whom you claim eligibility: ____________________________________________________
OR: Address of Master Mason sponsor: _____________________________________________________________
Address of Majority Member sponsor: __________________________________________________________
I have been informed of the objects and aims of Job’s Daughters International and petition for membership. If I am admitted
to membership, I promise to conform to all the laws and regulations of the organization.
________________________________________________________
___________________________________
(Signature of Petitioner)
(Date)
I approve and consent to the filing and reading of this petition, subject to the laws, rules and regulations of Job’s Daughter
International.
________________________________________________________
___________________________________
(Signature of Parent or Guardian)
(Date)
Form 130 (Revised September, 2015)
Date of Initiation: __________________

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