GRAND  YORK  RITE  REGISTRATION  FORM

Revised 03/2002

 

Name: _________________________________        Date: __________________

 

SECTION A:                    BALLOTS / VOTES / CREDENTIALS

 

Chapter Name: ____________________________________  No. ____________

 

Council Name: ____________________________________ No. _____________

 

Commandery Name: _______________________________ No. ______________

 

      CHAPTER

   COUNCIL

 COMMANDERY

  PRESENT

   ____ High Priest

   ____ King

   ____ Scribe

 

  PROXY For

    ____ High Priest

   ____ King

   ____ Scribe

   PRESENT

   ____ Ill. Master

   ____ Dep. Master

   ____ Pr. Cond. Work

 

  PROXY For

   ____ Ill. Master

   ____ Dep. Master

   ____ Pr. Cond. Work

   PRESENT

   ____ Commander

   ____ Generalissimo

   ____ Capt. General

 

  PROXY For

   ____ Commander

   ____ Generalissimo

   ____ Capt. General

 

  *NOTE:  The three (3) Principal Officers or their Proxies are required to present credentials in

                         order to receive a ballot.

 

   ____ Past High Priest

   ____Past Ill. Master

   ____ Past Commander

 

 

SECTION B:  REGISTRATION /ATTENDANCE / ROLL CALL OF OFFICERS

 

   CHAPTER

   COUNCIL

   COMMANDERY

____ Present Grand Officer

Rank/Position

 

 

____ Present Grand Officer

Rank/Position

____ Present Grand Officer

Rank/Position

____ Past Grand Officer

Rank/Position

 

 

____ Past Grand Officer

Rank/Position

____ Past Grand Officer

Rank/Position

 PRESENT DISTRICT OFFICER

District No.  ____

 ____ District High Priest

 ____ District Lecturer

PRESENT DISTRICT OFFICER

District No.  ____

 ____ District High Priest

 ____ District Lecturer

PRESENT DISTRICT OFFICER

District No.  ____

____ District Commander

____ District Inspector/Instructor

 

 

______NON--VOTING MEMBER

 

     TOTAL CHAPTER BALLOTS     TOTAL COUNCIL BALLOTS   TOTAL COMMANDERY BALLOTS

 

 

                  _______                                           ______                                ________