Information required from applicants for joining Internet Lodge No. 9659, United Grand Lodge of England who are already members of the United Grand Lodge of England.

Please note that all applicants are required to pay the joining fee of 50.00 GBP.

Please complete all required data if applicable. * indicates optional data. Further notes are provided at the bottom of the page.

Personal details
Family Name
Given Name(s)
Familiar name by which you prefer to be addressed
Date of Birth  (dd/mm/yyyy)
Title (Mr., Senor, Herr , Dr., Prof., etc.)

Home address data
	Address line 1
*	Address line 2
*	Address line 3
	Town or City
	County, State or Region
	Postal Code or Zip Code
	Country

Contact data
	E-mail address
	Home telephone ( + country code)
*	Personal mobile ( + country code)

Masonic Details
	Date of Initiation (dd/mm/yyyy)
*	Date of Passing (d/mm/yyyy)
	Date of Raising (dd/mm/yyyy)

Craft Lodge Membership
		Lodge 1	Lodge 2	Lodge 3
	Lodge Name
	Lodge Number
	Province or District (if applicable)
	Member of Lodge since (dd/mm/yyyy)
	Constitution (English, Scottish, Irish, etc.)
	Grand Lodge Name

Internet Lodge *
	Name 1	Name 2
Names of any Internet Lodge members you know

Notes

1. An asterisk (*) identifies optional data. All other data are required if applicable.
2. If there is insufficient space please continue on a separate document using the same headings. The more information you can supply, the easier and quicker it will be for us to process your application.
3. Should you, as a result of the data that you have submitted, be eligible to join Internet Lodge we will send you an official United Grand Lodge of England (UGLE) Registration Form P which you must complete, sign and return.
4. You will need to submit Clearance Certificates indicating good standing from the Secretary of every Lodge of which you are, or have been, a member. A copy of your Grand Lodge certificate will also be required. These can be submitted by email
5. Registration Form P must also be accompanied by payment of 50.00 GBP which is the current Joining Fee. You may also wish, at this time, to pay your first year's annual Subscription which is currently 60.00 GBP. If Sterling payments are not possible, International Money Orders will be accepted. The Lodge Treasurer is also able to process credit card payments via the Web. In the event of any problem preventing your completing the joining process and you do not become a member all monies will be refunded.
6. The data that you provide is required by United Grand Lodge of England but will only be held and used for the purposes of your membership of a private Lodge under the Constitution of United Grand Lodge of England. It will NOT be divulged to any third party unless exceptionally demanded by law.
7. Once the above have been formally concluded your application will be read out in open Lodge at the next Regular meeting, and then balloted (voted) on at the following Regular Meeting, which, if in your favour, will mean that you are immediately a member of the Lodge.

Copyright 1998-2008: Internet Lodge No 9659 Please see and sign our Guest Book - click here Send mail to webmaster@internet.lodge.org.uk with questions or comments about this website This website is approved by both the United Grand Lodge of England and the Provincial Grand Lodge of East Lancashire