AASR Printable Petition

ANCIENT ACCEPTED SCOTTISH RITE

VALLEY OF FREEPORT

FOR THE NORTHERN MASONIC JURISDICTION OF THE UNITED STATES OF AMERICA

PETITION FOR DEGREES – Total Fee is $125.00 of which $35.00 must accompany Petition

DOES NOT INCLUDE DUES PAYABLE AT INITIATION

To the Officers and members of the Scottish Rite Bodies sitting in the Valley of Freeport, Illinois

I,
	PLEASE PRINT: First	Middle	Last Name

the under signed hereof, respectfully show that I am desirous of being admitted as a member of

FREEPORT LODGE OF PERFECTION, FREEPORT COUNCIL, PRINCES OF JERUSALEM,

FREEPORT CHAPTER OF ROSE CROIX, AND FREEPORT CONSISTORY

and request that I may be received among you, and that I will ever pray for the prosperity and glory of the Fraternity and the welfare of the brethren.

I the undersigned, do hereby promise on my word of honor, and swear true faith, allegiance, and fealty to the Supreme Council of Sovereign Grand Inspectors General of the Thirty-Third and Last Degree of the Ancient Accepted Scottish Rite of Freemasonry for the Northern Masonic Jurisdiction of the United States of America, sitting in its Grand East in the town of Lexington, Massachusetts, and will support and abide by its Constitutions, Orders and Decrees.

That I will hold allegiance to the said Supreme Council and be loyal thereto, as the supreme authority of the Rite; will hold illegal and spurious every other body that may be established within its Jurisdiction, claiming to be a Supreme Council to which said Supreme Council has not extended due recognition as such; and every other Body of said Rite within the same Jurisdiction that does not hold its powers from said Supreme Council, or form a Supreme Council recognized by it, and will hold no communication whatever in Scottish Rite Masonry with any member of the same nor allow him to visit any Body of the Rite of which I may be a member, and I will dispense justice to my brethren according to the laws of equity and honor.

And should I violate this my solemn vow and pledge, I consent to be expelled from Scottish Rite Masonry, and all rights therein and in any Body of the Rite, and to be denounced to every Body of the Ancient Accepted Scottish Rite in the world as a traitor and forsworn.

Signed:

Date:

(Name in Full)

Date of Birth:

Place of Birth:

Social Security #

Resides at (Street Name & Number):

Home Phone #:

Cell Phone #:

City State Zip

eMail:

Married YES o NOo

Name of Spouse:

Places of Residence in last ten years:

Employer:

Occupation:

Address:

Work Phone:

Member of:

Lodge #

At:

(Name)

(Number)

(Location)

Have you ever petitioned the Scottish Rite Before?

Y / N

Valley:

RECOMMENDED BY:

Two members of the Valley of Freeport

1.
	Signature		OFFICE INFORMATION
		DATES
	Name – Printed
		Received
	Address City State
2.
	Signature	Elected

	Name - Printed	Received Degrees

	Address City State

The Petition, when completed, should be sent, along with the required fees, to the Valley Secretary, Masonic Temple, 305 West Stephenson Street, Freeport, Illinois 61032, Phone 815-233-0513. Make checks payable to Freeport Scottish Rite Bodies.