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Greetings Brother . Please update the highlighted fields. All others are read-only.

 

Petition Date
Investigative Cmte Back
Date Initiated 
Date Rejected
EA Proficiency
Date Healed?  
Petition Signer #1
Existing Photo
Photo (optional)
URL to photo. Example: http://www.flickr.com/yourpic.jpg
Received in Lodge
Date Passed  
Objection Date
Read Date
FC Proficiency
Demitted
Petition Signer #2
Investigative Cmte Out
Date Raised
Date Elected
Birth Date
MM Proficiency
Emergency Contact
Emergency Contact Phone
First Name Middle  Last Name 
Address City State ZIP
Cell Phone  Home Phone Spouse Birth Place
Email Member Rank  Member Status   On-Line Dues Paid Date: *
On-Line Dues Paid Amount: *    *Read Only  Exempt on Dues? Member Password
     
  Dues
Jan Dues Feb Dues Mar Dues Apr Dues May Dues Jun Dues Jul Dues Aug Dues Sep Dues Oct Dues Nov Dues Dec Dues TOTAL
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
Member Office Grand Lodge Office ?
Member proficiencies/committees/notes

Member Occupation
Member Employer
Member hobbies
 
Suspended Date *
Member Suspended Reason  
Expelled Date*
Member Expelled Reason
Reinstated Date**
Deceased Date Reported
Deceased Date (Exact)
Member username Member User Group
Affiliation Date    Affiliation (Jurisdiction & Lodge #)
*If Suspended or Expelled Fields contains a date, the Member Status Field automatically gets changed to "Suspended" or ";Expelled"
* If the Date Initiated Field contains a date, the Member Status Field automatically gets changed to "Regular" upon form submittal
** If Reinstated Field contains a date, the Suspended/Expelled Fields automatically gets changed to an empty value and the Member Status Field is automatically changed to "Regular"