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PETITION FOR
ASSOCIATE MEMBERSHIP
OASIS SHRINERS,
A.A.O.N.M.S.
To the Potentate, Officers and Nobles of Oasis
Shriners, situated in the Oasis of Charlotte, Desert of North Carolina:
I, the undersigned, a Noble of the Mystic
Shrine, initiated in ___________ Shriners located at ____________________,
and presently a member of __________ Shriners located at
____________________, do on this date request that I be admitted as an
Associate Member of Oasis Shriners in accordance with Chapter 323.7 of the
By-laws of the Imperial Council, Ancient Arabic Order of the Nobles of the
Mystic Shrine.
I am a Master Mason in good standing in
__________________ Lodge No. ____ , located at
______________________________ .
Birthplace: ___________________________ Date
of Birth: _____________
Profession or
occupation:_______________________________________
Petitioner’s Residence
Address:_____________________________________
Street or P.O.
Box
City, State, Zip
Petitioner’s Business Address: _____________________________________
Street or P.O.
Box
City, State, Zip
Phones:
Home: ( ____) _______________
Work: (____) _______________.
E-mail:
_____________________________________
Today’s
Date: __________________ 20 _________
PETITIONER’S NAME IN FULL (Please type or
print legibly):
_____________________________________________________________
PETITIONER’S SIGNATURE IN FULL:
____________________________________________________________
Recommended by:
Noble _______________________________ Shrine
No.: ______________
Noble _______________________________Shrine
No.: ______________
PLEASE
NOTE:
Petitioner must attach a photocopy of current Shrine and Blue Lodge
dues cards!
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