Royal Arch Chapter of Research No. 222, Ireland.

Application form for Membership

Enter your details and post this form, together with the fee to :-

Mr J McIlveen,

7 Gibson Park Gardens,

Belfast,

BT6 9GN,

Northern Ireland, UK,                   All Entries in Block Capitals Please

Name in Full …………………………………………………………………….

Address ………………………………………………………………………….

City ……………………………….… State/ Prov. …………………………..

Country ………………………………….. Zip/Post Code …………………….

e-mail Address: ……………………………………………………………………

Current Masonic Rank (Chapter): …................................................................

Chapter Name and Number ……………………………………………………….

Mark Mason Lodge Name and Number……………………………………………

Masonic Craft Lodge Name and Number ……………………………………………….

Masonic Constitution ………………………………………………………

When did you join RAC Masonry ……………………… Current Age …………

Membership Class: Full Member / Correspondence Circle. (Delete as necessary

Occupation ………………………………………………………………..

  

Signature: ………………………………………. Date: ………………………..


Proposed By ……………………………………….

Seconded by ……………………………………….

Annual Membership Fees (All Classes):

: £20 (Stg) - Sterling only please.

First payment to be submitted with this application form. (Bank draft or cheque payable to: The Royal Arch Chapter of Research No. 222, Ireland).