CIVIL WAR LODGE OF RESEARCH NO. 1865 A.F. & A.M
HIGHLAND SPRINGS, VIRGINIA
PETITION FOR AFFILIATION
I hereby petition the officers and brethren of the Civil War Lodge of Research (CWLR) No. 1865 A.F. & A.M. of Virginia for membership through Affiliation. I certify that I am now a Master Mason in good standing in a Lodge under a Grand Lodge recognized by the Grand Lodge of Virginia. I understand that the CWLR does not conduct any degree work, but is organized for research, education, and re-enactment purposes, and that membership is only by affiliation. Continuing membership is based on each member remaining an active member of a Lodge under a Grand Lodge recognized by the Grand Lodge of Virginia. According to the Virginia Methodical Digest Section 2.159 g) “If a member of a Research Lodge fails to pay the Lodge dues for two or more years, the Lodge may, at a stated communication vote to have the member’s name removed from the roll. Such action will not affect that member’s standing in a regular Lodge.”
The annual dues of the CWLR are $30. The Lodge meets four times per year on the first Saturday in October and December; and the second Saturday in April and July. In addition, the Lodge may hold additional Called Communications in conjunction with Civil War re-enactments and other events relating to the Civil War and Freemasonry (subject to receiving appropriate approvals and dispensations).
Please print all information except for your signature
Full Name: _______________________________
Date of Birth: ___ /____ /___
Address: ___________________________________
City, State, ZIP: ___________________________________ Occupation:________________________________
Home Phone: ___________________________________
Cell / Work Phone:___________________________
Best e-Mail: ___________________________________
Current Blue Lodge Membership (please include the City and State):
__________________________________________________________________________________________________________________________
Name of your Mother Lodge and Number (please include the City and State) and dates of your EA, FC, and MM degrees (if you remember them): __________________________________________________________________________________________________________________________
EA: ___/___/___ FC: ___/___/___ MM: ___/___/___
Signature and date you signed this application: ______________________________________________
(Optional) Recommended and vouched for by: ______________________________________________
Mail this application and $30 (payable to “CWLR”) for your first year’s membership dues to:
CWLR #1865 A.F. & A.M.
Attn: Secretary
9638 Park Street
Manassas, VA 20110
hart.bennett@gmail.com