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Petition for Initiation and Membership

Hello! Welcome to Tangier Shrine. By completing this Petition, you'll be one step closer to becoming a Tangier Shriner. We're excited to welcome you aboard.

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For questions or assistance, please contact Samsar Matt Ellis at samsar@tangiershrine.com.

Tangier Shrine Petition For Membership.pdf.png

Tangier Shrine of Shriners International

To the Illustrious Potentate, Officers and Members of

Tangier Shrine Center in Omaha, Nebraska:

Furthermore, I do not now, and I never will hold membership in or allegiance to, anybody claiming to be Masonic that has been declared clandestine by the Supreme Council 33° for the Northern or the Southern Jurisdiction of the United States of America that I have resided within the jurisdiction of your Center, or in unoccupied territory, not less than six months, as required by the Constitution of the International Council, and that I am not under suspension or expulsion in either of the bodies prerequisite to this Order, and respectfully pray that I may be a Noble of the Mystic Shrine, and become a member of your Center.


I furthermore represent that I have never previously applied for said Order, nor have I to my knowledge, been rejected by any other Center. If I be found Worthy, and my request granted, I promise to conform to all the Ceremonies, Engagements, Constitution, Regulations and Edicts of the International Council together with those of your Center.

Were you a Demolay?
Yes
No
Date of Birth:
Month
Day
Year
Multi-line address
Preferred Method of Contact?
Email
Phone
Lady's Preferred Method of Contact?
Email
Phone
Today's Date
Month
Day
Year

To submit your application, click the submit button below. For questions about the application process, please reach out to our Recorder at recorder@tangiershrine.com.

For questions about membership, please contact our Membership Chairman, Matt Ellis at samsar@tangiershrine.com.

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