Print this form on your printer, complete and mail with your check to the address below

Reservation Form For December

Communication Dinner-Show-Dance

Enclosed is/are ____________ reservations at $25 per person for the Banquet, Show, and Dancing after the December Quarterly Communication of Grand Lodge on Wednesday, December 2. There will be a social hour at 5:30 p.m. and dinner at 6:30 p.m. followed by the Bobby Mercer Road Show and dancing.

Entree Selection: # Beef ____________ # Fish ____________

Name___________________________________________________________

Address_________________________________________________________

City ____________________________________________________________

State_________________________________________ ZIP_______________

Phone (________)_________________________________________________

Member of Lodge No. ______________________________________________

Location_________________________________________________________

Reservations will be accepted on a "First Come" basis.

DEADLINE FOR RESERVATIONS: NOVEMBER 15.

Please make checks payable to: "Grand Lodge of Pennsylvania."

Send with reservation to:

Office of the Grand Master
Masonic Temple
One North Broad Street
Philadelphia, PA 19107-2598

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