Join the Grotto – Ormazd Grotto

Today's Date*

Name*

First

Last

Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Email*

Phone*

Date of Birth*

day

/

month

/

year

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?*

If so, when, and which Grotto?

Will you endeavor to visit a Blue Lodge within the jurisdiction whenever possible?*

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 $250

Optional Donation to offset PayPal fees $9

Total

reCAPTCHA