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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
MM
FC
EA
Member Status
Regular
Initiation
Suspended
Expelled
MWGM
MWPGM
Past Master
Past Master, 50 Year
50 Year
Deceased
Emeritus
Demit
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
Worshipful Master
Senior Warden
Junior Warden
Secretary
Treasurer
Senior Deacon
Junior Deacon
Tyler
Marshall
Chaplain
Senior Steward
Junior Steward
Muscian
Assistant Secretary
Assistant Treasurer
Assistant Musician
Assistant Chaplain
Trustee
Grand Lodge Office
?
Most Worshipful Grand Master
RW Deputy Grand Master
RW Senior Grand Warden
RW Junior Grand Warden
RW Grand Treasurer
RW Grand Secretary
RW Grand Lecturer
RW Board of Directors Chairman
RW Board of Directors Vice Chairman
RW Board of Directors Comptroller
RW Board of Directors Comptroller
RW Secretary to the Board
Very Reverend Grand Chaplain
Assistant Grand Chaplain
RW Senior Grand Deacon
RW Junior Grand Deacon
RW Senior Grand Steward
RW Junior Grand Steward
RW Chairman of Committee on Foreign Correspondence
RW Grand Historian
RW Assistant Grand Historian
RW Grand Marshal
RW Assistant Grand Marshal
RW Assistant Grand Secretary
RW Grand Pursuivant
RW Grand Tyler
RW Grand Architect
RW Assistant Grand Architec
RW Grand Bible Bearer
RW Grand Standard Bearer
RW Grand Sword Beare
RW Grand Flag Bearer
RW Grand Orator
RW Assistant Grand Orator
RW Grand Organist
RW Grand Auditor
RW Grand Keeper Of The Archives
RW Assistant Keeper of the Archives
RW Grand Director
RW DDGM District #1 Lodges #1, 3, 64
RW DDGM District #2 Lodges #2, 61, 78, 87
RW DDGM District #3 Lodges # 7, 29, 44, 60, 62, 73
RW DDGM District #5 Lodges #27, 35, 108
RW DDGM District #6 Lodges #15, 43, 46
RW DDGM District #7 Lodges #18, 33, 56, 65, 99
RW DDGM District #8 Lodges #5, 12, 19, 59
RW DDGM District #9 Lodges #8, 45, 49, 68, 94, 104
RW DDGM District #10 Lodges #26, 91, 102
RW DDGM District #11 Lodges #10, 58, 79, 112
RW DDGM District #12 Lodges #107, 117
RW DDGM District #13 Lodges #13, 17, 105
RW DDGM District #14 Lodges #28, 37
RW DDGM District #15 Lodges 85, 109
RW DDGM District #16 Lodges #6, 14, 66, 111, 118
RW DDGM District #17 Lodges #11,103
RW Grand Photographer
RW Grand Worthy Matron
RW Grand Associate Matron
Most Ancient Grand Matron
Deputy Ancient Grand Matron
Right Excellent Worthy Grand Joshua
Grand Thrice Illustrious Master for The R & S. M.
Grand High Priest HRAM
Right Eminent Grand Commander KT
Sovereign Grand Commander AASR
Deputy Orient of CA / HI
SGLLR RWB Grand Council of Assemblies
Imperial Potentate AEAONMS
Imperial Deputy Of The Desert AEAONMS
Imperial Deputy For The Desert Daughters of Isis
RW Grand D.J.
RW Grand Administrative Assistant
RW Grand Sessions Administrative Assistant
RW Building Maintenance Committee
RW Charity Benevolence Committee
RW Masonic Education Committee
RW Corporate Affairs/Ways Means Committee
RW Election Committee
RW Fraternal Relations
RW Grand Lodge Security Committee
RW Grand Lodge Security Committee
RW Entre Nous Committee
RW Jurisprudence Committee
RW Masonic Digest Committee
RW Medical Education Chairman
RW Medical Education Committee
RW PHMSF - Liaison Committee Chairman
RW PHMSF - Liaison Committee Vice Chairman
RW PHMSF - Liaison Committee Committee
RW Publicity Public Relations Committee Chairman
RW Publicity Public Relations Committee Committee
RW Recognition/Healing Committee Chairman
RW Recognition/Healing Committee Vice Chairman
RW Recognition/Healing Committee Member
RW I.T./Website Committee Chairman
I.T./Website Committee Member
RW Regalia Supply
RW Youth Development Committee Chairman
RW Youth Development Committee Member
RW NAACP Committee Chairman
RW NAACP Committee Member
RW Emeritus - Senior Grand Warden
Emeritus - Grand Lecturer
Emeritus - Grand Warden
Emeritus - Junior Grand Warden
Emeritus - Grand Secretary
Emeritus - Assistant Grand Secretary
Emeritus - Grand Directory - Chairman
Emeritus - Grand Director
Emeritus - District Deputy Grand Master
Emeritus - Grand Election Committee
Emeritus - Grand Charity Benevolence Chairman
Emeritus - Grand Security Chief Director
Emeritus - Grand Security Vice Chief Director
Emeritus - Grand Sessions Manager
Emeritus - Grand Sessions Committee Member
Emeritus - Grand Sessions Treasurer
Emeritus - Grand Jurisprudence - Chairman
Emeritus - Grand Jurisprudence
Emeritus - Very Reverend Grand Chaplain
Emeritus - Grand Marshal
Emeritus - Grand Recognition/Healing Team Chairman
Emeritus - Grand Recognition/Healing Team Vice Chairman
Emeritus - Grand Digest Editor
Emeritus - Grand Photographer
Emeritus - Grand Youth Director
Special Laison to California Grand Lodge
Special Laison to Japan & A.F.A.M Grand Lodge
Special Laison to MWPHGL
RW Membership Committee
RW veterans Affairs Committee - Chairman
RW veterans Affairs Committee - Committee
Member proficiencies/committees/notes
Member Occupation
Member Employer
Member hobbies
Suspended Date *
Member Suspended Reason
NPD
UMC
Other
Expelled Date
*
Member Expelled Reason
NPD
UMC
Other
Reinstated Date
**
Deceased Date Reported
Deceased Date (Exact)
Member username
Member User Group
Craft
Lodge Admin
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"