ADDRESS: ___________________________________________________________________
Street City State Zip Code
PHONE ( ) _______________Home ( ) ______________Cell ( ) ________________
E-MAIL: _____________________________
BRANCH OF SERVICE : _______________________ From ___________ To ____________
AWARDS / DECORATIONS : ____________________________________________________
PRESENT OCCUPATION : ______________________________________________________
LADY’S NAME : ____________________________________
Are you physically able to carry parade flags in our color guard? __________________________
Will you march in MAHI SHRINERS parades? _______________________________________
Do you agree to try and attend all stated meetings of the MAHI TEMPLE?__________________
Do you agree to attend Legion of Honor Meetings when scheduled? _______________________
Annual Dues are $20.00. You will receive the Legion of Honor Medal at no cost. Shirts are also available. Please make your check out to: MAHI SHRINE LEGION of HONOR.
I _______________________________by signing hereby affixed, do hereby agree to uphold the by-laws of MAHI TEMPLE and MAHI LEGION of HONOR. I also agree to carry out the orders of MAHI L.O.H. Commander in keeping with the guidelines of MAHI TEMPLE Potentate an the Divan. I will not participate in any organization or group that sanctions beliefs that oppose or
contradict this Temple this Legion Unit or the MASONIC ORDER.
Signed : ___________________________
Date : ________________
Approved : _________________________ Commander
Recorded : _________________________ Adjutant
