KNIGHTS OF ST. ANDREW, MASSACHUSETTS CHAPTER
THE GRAND ARMY OF THE ANCIENT ACCEPTED SCOTTISH RITE
PETITION FOR INITIATION AND MEMBERSHIP
To the Venerable Master, Prior, Seneschal and members of the Massachusetts Chapter of the
Knights of St. Andrew, situated in the Valley of Boston, Massachusetts:
I, the undersigned, hereby declare that I am a 3º Master Mason in good standing in
Lodge, A.F. & A.M.
Located at (City)
(State)
and a Sublime Prince of the Royal Secret, 32 º, in good standing in
Consistory, Valley of
, AASR #
I hereby make application to be received and accepted as a Knight of St. Andrew,
and a member of the Massachusetts Chapter, thereof.
Birthplace
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Candidate Signature
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Proposed and Vouched for on the Honor of:
Sir
Sponsor Signature
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INITIATION FEE: $32.00 US - PAYABLE TO: MASSACHUSETTS CONSISTORY
PLEASE MAIL TO:
KNIGHTS OF ST. ANDREW, MA CHAPTER
C/O S.K. FRANCIS M. HART
P.O. Box 513
Barre, MA 01005