Application for Membership in the

Organization of Triangles, Inc.

      Date: _____________________

To the Beloved Queen, Officers, and Members of ______________________________ Triangle #_______

Applicants with Masonic Relation

I, _______________________________________ of __________________________________________,

                       (Full Name of Masonic Relative)                                                              (Street Address)

of  ________________________ Lodge F.&A.M. #_______, located _____________________________,

                   (Name of Lodge)                                                                                                              (Address of Lodge)

solicit membership in your Triangle, of the Organization of Triangles.

Applications with Sponsorship

I, sponsored by ______________________________________, of __________________________ Lodge

                                                        (Full Name of Sponsor)                                                       (Lodge Name)

F.&A.M., #__________    /or    ____________________________________________ Chapter, # _______

                                                                                         (Name of Eastern Star or Amaranth)

solicit membership in your Triangle, of the Organization of Triangles.

If accepted, I pledge my honor that in all respects I will conform to the Constitutions and Regulations of the Organization of Triangles, Inc., and the By-laws of your Triangle.

Applicant Information

Full Name:_____________________________________________________________________________

Parents/Guardians Name: _________________________________________________________________

Parents/Guardians Address: _______________________________________________________________

Your Address: __________________________________________________________________________

Date of Birth: ______________________________  Phone Number: ______________________________

Do you believe in a Supreme Being? ___________

Signature of Applicant:___________________________________________________________________

Proposed By: ___________________________________________________________________________

References              Name                                                                                Address

1. ____________________________________        ____________________________________________

2. ____________________________________        ____________________________________________

3. ____________________________________        ____________________________________________

Petition Fee of $_________ should accompany this Petition.

The name and address of the Secretary of the Lodge in which the Masonic relative or Sponsor holds membership:

______________________________________________________________________________________

Investigated By: __________________________ Supervisor _______________________________ Daddy

Approved: _______________ Disapproved: ________________ Date: _____________________________