1. REQUEST for LETTER of GOOD STANDING
Brethren;
I, (Name) ____________________________________________________ (Member No)._____________________
do hereby request that a Letter of Good Standing be issued to me for the purpose of Affiliating with the Kansas
City Valley of the Scottish Rite, Orient of Missouri of the Southern Jurisdiction of the United States.
My current residence is:
Residence _____________________________________________________________________________ Phone (____) ____-______
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Member of Valley:_____________________________________ (City) Orient: _____________________________ (State)
Signed ________________________________________________ Date _____/_____/________
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Ph. (816) 561-2277 FAX (816) 561-1615
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