Petition for Membership
Acacia Lodge #1 Ancient, Accepted and Esoteric Freemasons
Unbiased by friends, and uninfluenced by mercenary motives, I freely and voluntarily offer myself a candidate for the mysteries of Freemasonry. If admitted, I will keep the secret passwords, signs and esoteric teachings secret and cheerfully share all of the ancient teachings of the Fraternity. I know of no reason which should prevent me from becoming a Freemason.
Name _____________________________________________________________________
Address ___________________________________________________________________
City/State/Country/Zip _________________________________________________________
Age ____ Telephone Number _________________ E-Mail ____________________________
Occupation _________________________________________________________________
All information provided by the candidate is solely for the use of A.·. A.·. & E.·. F.·. and will not be disclosed to any person or persons for any other reason whatsoever.
Signature: _________________________________________________________________
Please check all the appropriate boxes:
_______ I am already a Master Mason
_______ I am already a 32nd degree Mason
_______ I am already a Shriner
_______ I am also a member of the following Masonic bodies [please list on back]:
Mail this petition to:
Universal Gnostic Church
A.·.A.·.& E.·.F.·.
PO Box 163
Ridgecrest, NC 28770
or E-mail it to info.masons@gmail.com
Payment may be made in any of the following ways:
- ____ Check or money order for $75.00 donation payable to Universal Gnostic Church and on the "For" line write A.·.A.·.& E.·.F.·. [enclose check or money order]
- ____ Credit Card through IPX Services secure and confidential gateway.