Affiliation Please enable JavaScript in your browser to complete this form.Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920To the Officers and Members of:Joshua Chapter No. 158 Royal Arch Masons - Hiram's Council No. 111 Cryptic Masons- H.E. Lackey Commandery No. 67 Knights Templar I hereby delcair that I am a Master Mason in Good Standing of the following Lodge: Name of Lodge: *Lodge Number: *Current or Former Chapter Member of :The petition of the subscriber respectfully represents that he is or was formerly a Royal Arch Mason in good standing of:Chapter:Chapter #:Current or Former Council Member of: The petition of the subscriber respectfully represents that he is or was formerly a Cryptic Mason in good standing of:Council: Council #: Current or Former Commandery Member of: The petition of the subscriber respectfully represents that he is or was formerly a Knight Templar in good standing of:Commandery:Commandery #: I am petitioning to become a member of the following Millersville York Rite Bodies: *Joshua Chapter No. 158, RAMHiram's Council No. 111, CMH.E. Lackey Commandery No. 67, KTPlease Un-Check any that you are not affiliating to.I wish to affiliate by: *TransferPlural MembershipFurthermore: I further state I have not been rejected from any York Rite Body. I also have a firm belief in the Christian Religion to join the Knights Templar. I wish to be initiated into the above named York Rite Bodies.Full Name *FirstMiddleLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone (Mobile Preferred) *Recommended by (Member 1): If you have asked a member of our Millersville York Rite to sign your petition, please enter their name here. Otherwise, Leave it Blank Recommended by (Member 2): If you have asked a member of our Millersville York Rite to sign your petition, please enter their name here. Otherwise, Leave it Blank Signature *Clear SignatureNameSubmit If you would prefer to not submit a petition for affiliation online, you can go ahead and download the petition here: Notice of Intention to Transfer FormDownload Petition To Affiliate by TransferDownload Petition for ReinstatementDownload