DISPENSATION TO WEAR MASONIC REGALIA IN PUBLIC

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YOUR DETAILS
Forename(s)
Surname
ELPGL computer number (if known)
Office (if not Secretary / Scribe E)
e-mail address
 
YOUR LODGE / CHAPTER DETAILS
Lodge or Chapter
Name
Number
Regular meeting place
 
DISPENSATION REQUIREMENTS
Details of public event
Description
Venue
Timing
  on 
Total number of attendees anticipated
Total number of Masonic attendees
Will all Masonic attendees wear regalia?
   If "No", how many will?
Degree of media cover anticipated
Special circumstances warranting the request for a Dispensation
Any additional Comments