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Masonic Dues Card Verification

Please enter your current dues card information exactly as it appears on your card.

PART 1 — Grand Chapter Certification

Most Worshipful Prince Hall Grand Chapter, F. & A. M.

For (Grand Chapter / Jurisdiction) *

Grand Secretary Name *

PART 2 — Identification Card

This is to certify that the Sister named herein is a Initiated OES Member in good standing

Sister (Full Name) *

Chapter Name *

Chapter No.

Chapter Secretary Name *

City, State *

Date Issued (Month/Day, Year) *

Card Void After (Month/Day, Year) *

Your dues card information is used solely for membership verification. It is kept secure and confidential.