This application form provides information required from applicants for joining Internet Lodge No. 9659, Province of East Lancashire, United Grand Lodge of England.
Applications for membership are welcome from any Freemason who is a member of a Grand Lodge that is recognised by the United Grand Lodge of England.
Please ensure that you have read the "How to Join the Lodge" page before making your application.
Please note that all applicants are required to pay the joining fee of 50.00 GBP within 14 days of making the application. This will be refunded if the application is refused.
Applicants from constitutions other than UGLE are also required to pay the UGLE registration fee (currently 68.40 GBP).
Please complete all required data if applicable. An asterisk '*' indicates optional data. Further notes are provided at the bottom of the page.
When you click the "SUBMIT" button to commit the form an email will be sent to you in HTML format. It is necessary that you click on the hyperlink in the email to confirm your application. this measure is to prevent web bots from inundating us with rogue forms.
If you do not receive a personal reply from us within 48 hours please send us an email
If you have any problems with the form please contact the webmaster at firstname.lastname@example.org
When you have completed the form you will be sent an email containing a link and the data that you have submitted. Please click on the link in the email. This will open your browser and confirm your submission of the application form.
Revised August 2015