PROPOSER AND SECONDER
We propose the above-named gentleman as a candidate for Initiation into Freemasonry
Proposer: __________________________________
PRINT NAME IN FULL
Lodge No.: ______
Seconder: __________________________________
PRINT NAME IN FULL
Lodge No.: ______
Dated this _____________day of ____________________ 20 _____________
Proposer's Signature: ___________________________________________
Seconder's Signature: ___________________________________________
FOR LODGES SECRETARY'S USE ONLY
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