Petition For The Degrees
Royal Arch Masonry

To the Most Excellent High Priest, Excellent King, Excellent Scribe and Companions of :

____________________ Chapter, No. ____, Royal Arch Masons.

I, the undersigned, a Master Mason in good standing and a member of ................................................. Lodge No........, F. & A. M., located at ............................. under the jurisdiction of the Grand Lodge of ......................................................., respectfully petition your Chapter for the Mysteries of Capitular Masonry, and, if found worthy to be elected, promise a faithful compliance with all the Laws, Rules and Regulations of Royal Arch Masons wheresoever dispersed.

I received the Degrees of Symbolic Masonry in ........................................................................ Lodge No..........., F. & A. M., located at ................................ under the jurisdiction of the Grand Lodge of ...................................................

I have never before petitioned for the Capitular Degrees. (If you have, strike out the word "never" and give chapter name, location and action taken: .........................................................................................................)

Date of Birth: .......................................................

Place of Birth: ..........................................................

Home Address: ...................................................

Home Telephone Number: .....................................

Employer: ............................................................

Occupation: .............................................................

Business Address: .............................................

Business Telephone Number: ..............................

Social Security Number: ....................................

If married, wife’s name: .........................................

I have personally read the foregoing petition and, in testimony of my full understanding thereof, have signed my full name hereto:

............................................................
(Print name in full)
............................................................
(Sign name in full)
..............................
(Date)

Chapter Fees:

$................

Recommended by:

Deposit:

$................

Companion: ...............................................................

Balance:

$................

Companion: ...............................................................