2021Bylaws

Form #3

ASSOCIATE MEMBER INQUIRYAND REPORT

(Date)

To the Recorder of Shriners: Your Noble _ __________________________________________________________ (Name) whose address is _ _______________________________________________________________ (Street) ______________________________________________________________________________ (City, State, and Zip) Telephone: Res: Bus: has petitioned Shriners for Associ- ate Membership. If he is in good standing and eligible for a demit, we propose to act upon his petition. Please advise whether or not he qualifies for a demit under §323.10(a) of the bylaws of Shriners International. Thank you. of Shriners Recorder

_ ______________________________ (Date)

To the Recorder of

Shriners: The Noble named above (is) (is not) presently in good standing and eligible for

a demit from

Shriners under § 323.10(a) of the

bylaws of Shriners International.

of

Shriners

Recorder

(Seal)

To the Recorder of Shriners: This is to advise you that on _____________________________________ the Noble named (Date) above was (elected) (rejected) as an Associate Member of Shriners. Please mark your records accordingly. of Shriners Recorder (Seal)

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