The Lodge of Research CC, Ireland.
Application form for Membership
To submit an Application for Membership:
Enter your details below and post the form, together with the fee to: -
Mr J McIlveen, 7 Gibson Park Gardens, Belfast, BT6 9GN, Northern Ireland, UK,
All entries in Block Capitals please
Name in Full …………………………………………………………………….
Address ………………………………………………………………………….
City ……………………………….… State/ Prov …………………………..
Country ………………………………….. Zip/Post Code …………………….
Email Address: ………………………………………………………………
Current Masonic Rank (Craft): ...............................................................
Lodge Name and Number ………………………………………………….
Masonic Constitution ………………………………………………………
Occupation ………………………………………………………………..
When did you join Craft Masonry: ……………………… Current Age ………………
Membership Class: Full Member / Corresponding Member. (Delete as necessary)
Signature: ………………………………………. Date: ………………..
Annual Membership Fees for 2005/6 (All Classes):
Europe: £15 (Stg) or € 23 (Euro); Rest of World: £20 (Stg) or $ 30 US.
First payment to be submitted with this application form.
(Bank draft or cheque payable to: "The Lodge of Research CC, Ireland").