Knights Of Freemasonry Universal

"It is the internal, not the external"

Membership Form

Full Name: ____________________________________________________________

First Middle Last

Address:

Street: _____________________________________________

Town: _____________________________________________

State/province/zip-code: ______________________________

Country,: ______________________

Date of Birth: _________________

e-mail: ____________________

Phone:

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Masonic connections [Please specify]:

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Reference; both name + contact info.

Dues: $20. US/year

______ Donation to Children’s War Casualty Fund

______ Other Donations

Dues + other donations payable to KOFU; by a check, or credit card [through Paypal at www.kofu33.org ], All moneys tax exempt by US,IRS

740 Lucky Ave. Abingdon, Md., 21009 USA

Phone: (410) 676 - 9144 Fax: (413) 740 - 8292