WS Petition – PA Widows Sons

I would like to petition the following chapter:*

Choose one:*

Name*

First

Last

Date of Birth*

day

month

year

Phone*

Email*

Address*

Street Address City State / Province / Region Postal / Zip Code

Are you currently a Mason in good standing of a Blue Lodge recognized by the Right Worshipful Grand Lodge of Pennsylvania?*

Yes

Lodge Name / Number/ City*

Are you a Past Master?*

Yes

Membership in other Masonic Bodies:

List other Motorcycle Organizations you are a Member:

I promise and swear that the above information is true and accurate; that I am currently a Pennsylvania Mason in good standing in Lodge recognized by the Right Worshipful Grand Lodge of Pennsylvania. I understand that I may be suspended or expelled if I am found in violation of state and/or chapter bylaws. I agree that all patches remain the property of the Widows Sons and must be surrendered upon termination of my membership for any reason. I affirm that eligibility requirements have been explained to me and that I am an eligible petitioner and if I was ever a Widows Sons previously, in this jurisdiction or any other, and been labeled as inactive, suspended or expelled member, I am eligible to re-petition for membership. I further consent and agree to the provisions of the disclaimer at the bottom of this application.

Tick this box to agree to the above statement*

I agree

Recommended by:*

Lodge membership verifed by:

Disclaimer

The Widows Sons Masonic Riders Association of PA is an independent group of Masons who ride motorcycles and aid and assist the widows of Masons, promote Freemasonry and motorcycling and support the Right Worshipful Grand Lodge of Pennsylvania and its charities. All views and opinions of the Widows Sons Masonic Riders Association of PA are solely those of its members, who do not speak for, nor intend to act as representatives of any Grand Lodges, Symbolic Lodges, affiliate Masonic Bodies.

A petition fee of $____, copies of the petitioner’s driver’s license, motorcycle registration and vehicle insurance should be delivered to Chapter Secretary prior to this online petition being accepted.

Motorcycle Information

Year, Make & Model of your Motorcycle(s):*

Your Road Name or Nickname:

Years Riding Experience:*

Do you have a motorcycle endorsement on your DL?*

Yes

Do you fully understand that all patches are property of the Widows Sons and must be returned to the chapter should you no longer be an active member?*

Yes

To be completed by the chapter

Date Received by Chapter

Date of Chapter Vote

Result of Chapter Vote

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