Ormazd Grotto Application for Membership To the Officers and Members of Ormazd Grotto, I am desirous of becoming a member of your Grotto. If elected, I cheerfully promise to abide by the Constitution, General Laws, and Regulations of the Supreme Council of M.O.V.P.E.R. and the bylaws of your Grotto. Today's Date* Name*FirstLast Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Email* Phone* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year I was born at* I was made a Master Mason at (Lodge name, number, city & state)* Date I was made a Master Mason* Have you ever presented a petition, been rejected or suspended?*Yes or NoYesNo If so, when, and which Grotto? Will you endeavor to visit a Blue Lodge within the jurisdiction whenever possible?*Yes or NoYesNo Lady's Name List any hobbies, sports, or civic activities you enjoy Prophet that reccomended you (Top line signer)* Hat size (for fez)* Initiation Fee (includes fez and first year's dues)*Initiation Fee $250Optional Donation to offset PayPal fees $9 Total reCAPTCHASubmitReset