TO THE MASTER, WARDENS, AND BRETHREN OF MINNEAPOLIS LODGE NO. 19

I, THE UNDERSIGNED, UNSOLICITED BY FRIENDS AND UNINFLUENCED BY MERCENARY MOTIVES, WITH A BELIEF IN A SUPREME BEING, NEVER BEING CONVICTED OF A FELONY, NEVER BEEN REJECTED BY A MASONIC LODGE, AND PROMPTED BY A FAVORABLE OPINION OF THE INSTITUTION OF FREEMASONRY, RESPECTFULLY PETITION FOR INITIATION INTO THE MYSTERIES THEREOF, AND TO BECOME A MEMBER OF YOUR LODGE.

DIRECTIONS: PLEASE COMPLETE THE REQUESTED INFORMATION BELOW BY TYPING IN DIRECTLY TO THIS WEB PAGE, CLICK THE PRINT BUTTON AT THE BOTTOM WHEN FINISHED, SIGN THE PETITION AND ATTACH THE REQUIRED FEES.
 
ADDRESS
CITY STATE ZIP
 
HOW LONG IN MN? (YRS/MONTHS)        SPOUSE'S NAME (IF APPLICAPLE)
EMAIL ADDRESS
 
PLACE OF BIRTH (CITY/STATE)        DATE OF BIRTH (MM/DD/YYYY)
 
OCCUPATION & EMPLOYER NAME
 
HOME PHONE WORK PHONE CELL PHONE
 
SPONSORING BROTHER (PLEASE PRINT AND SIGN YOUR FULL NAME)
RECOMMENDED BY BROTHER (PLEASE PRINT AND SIGN YOUR FULL NAME)
 
SHOULD MY PETITION BE GRANTED, I PROMISE TO CONFORM TO THE REQUIREMENTS OF YOUR BYLAWS, AND TO THE REQUIREMENTS OF THE ESTABLISHED LAWS, USAGES, AND CUSTOMS OF THE FRATERNITY.
SIGNATURE DATE
PRINT YOUR FULL NAME