APPLICATION FOR AFFILIATION
I respectfully represent that I am a Master Mason in good standing and do not stand suspended or expelled from any Lodge of Master Masons, and I hereby make application for affiliation in the SOUTHERN CALIFORNIA RESEARCH LODGE.
I am now a member in good standing of _______________________ Lodge No. ____ in
the Jurisdiction of ________________________. Dues: $20.00 ($22.00 foreign) per year
Purchase a CD containing the SCRL papers add: $20.00 - USA (including Alaska & Hawaii); $30.00 - Foreign:(includes cost of shipping and handling).
Name: ________________________________________________ (Print name in full)
City, State, Zip: _________________________________________________
Telephone No. (_____)_______________; E-Mail ______________________
Signature__________________________________________ (Sign name in full)
Membership in Southern California Research Lodge is based upon your being a member of a California Lodge or a Lodge recognized by the Grand Lodge, F&A M of California. Please, therefore, let us know the name and address of your Lodge Secretary so that we may verify your standing.
City, State, Zip____________________________________________
Telephone No: (____)______________
MAIL TO: Southern California Research Lodge, PO Box 4153, Fullerton, CA 92834-4153