ACACIA LODGE XLII
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Contact Information Form for Members Only
This Contact Information Form is for Members of Acacia 42 F&AM only. Its intended use is to keep your contact information up-to-date for the Secretary, Treasurer, and lodge correspondences. All submissions outside of that scope will not be addressed. Please use "
Membership Inquiries
" for more information on how to become a member or
Contact Us
.
*
Indicates required field
Membership Status
*
Good Standing, Dues Current
Please use a number & email that doesn't change often preferably your permanent contact information.
Member Name
*
First
Last
Please list your legal name here. No nick names. If you're know in lodge with an alternate or short name please list it in the comments section.
Email
*
Member Email Address. Again, please use an address that isn't subject to change often for Lodge record purposes.
Phone Number
*
Member phone number.
Emergency Contact Name
*
First
Last
Emergency Contact: Someone we may contact in the case of an emergency. Cannot be the same number as that listed as member contact information.
Relationship to you
*
Please indicate the relationship of your Emergency Contact to you.
Phone Number
*
Emergency Contact Number: Someone we may contact in the case of emergency. Cannot be the same number as that listed as member contact information.
Member Address
*
Line 1
Line 2
City
State
Zip Code
Country
Please add a permanent mailing address suitable for long time record keeping.
Masonic Degree Status
*
Entered Apprentice
Fellow Craft
Master Mason
Choose the one option that best describes your current status regarding your Masonic career.
Appendant Bodies:
*
Scottish Rite (SJ, NJ)
York Rite
Shriners
Other
Not applicable
Please mark all that apply.
If other:
*
All other Masonic associations you wish to be listed in your Acacia 42 F&AM member profile.
Service to the Craft
*
PM of Acacia 42 F&AM
PM of an alternate Lodge
Lodge Officer
Not applicable
Please mark all that apply.
If PM of alternate Lodge/Lodge Officer:
*
If PM of alternate Lodge please list the name, No., state, and years served in the East of said Lodge. If currently serving as an elected Acacia 42 Lodge Officer please list the chair you're currently occupying.
If you've any requests, questions, or concerns please include them in the comments below.
Comment
*
Submit
Home
About
Lodge
Officers
Past Masters
Committees
Order of the Eastern Star: Acacia No. 46
>
Past Matrons and Past Patrons
Events
Events Calendar
Announcements
Sons of Voltaire
Members
Update: Contact Information
Acacia Distribution List
Arizona Masonic Lodge Directory
Lodge Awards
Trestleboards
Payments
Contact Us
Discover
>
FAQ
Famous Freemasons
Acacia Community
Links
Site Disclaimers