| The Grand Secretary's Office |
| Order Form |
| __________ |
| Date |
|
R.W. Grand Secretary Masonic Temple One North Broad Street Philadelphia, Pennsylvania 19107-2598 |
|
It is respectfully requested that you forward the following to the attention of the addressee on the bottom: |
| Ahiman Rezon | |||
| ________ | No. of copies @ $11.00 each | $___________ | |
| Shipping charges @ $5.00 per copy | $___________ | ||
| $___________ | |||
| Digest Of Decisions | |||
| ________ | No. of copies @ $11.00 each | $___________ | |
| Shipping charges @ $5.00 per copy | $___________ | ||
| $___________ | |||
| Secretary's Manual including the Form For Recording Minutes | |||
| ________ | No. of copies @ $65.00 each | $___________ | |
| Shipping charges @ $5.60 per copy | $___________ | ||
| $___________ | |||
| Twenty-Five Year Masonic Service Emblems | |||
| ________ | No. of pins @ $2.00 each | ||
| (No Shipping charge) | $___________ | ||
| TOTAL | $___________ | ||
| SHIP TO THE FOLLOWING: | |
| NAME | ____________________________________________________ |
| LODGE NAME AND ADDRESS | ____________________________________________________ |
| ADDRESS | ____________________________________________________ |
| ____________________________________________________ | |
| ____________________________________________________ | |
| ____________________________________________________ | |
| Make Check or Money Order Payable To: Grand Lodge F&AM of Pennsylvania | |
(REV. 1/2006) | |