MERRITT LODGE NO. 168 - VISITING BRETHREN NOTICE
Port Colborne, Ontario

Please email this completed form to:
merritt.168.secretary@gmail.com

Date:

1) Full Name:

2) Lodge Name and Number:

3) Jurisdiction / Grand Lodge:

4) Current Rank / Office:

5) Membership Card Number (if applicable):

6) Email Address:

7) Phone Number:

8) Date you plan to visit:

9) Any dietary requirements or accessibility needs:

10) Additional notes:

Visitor Reminder:
Please bring your current dues card and valid photo identification.
All visits are subject to lodge protocol and Secretary confirmation.