DISPENSATION FOR A LODGE MASTER TO CONTINUE IN OFFICE FOR A THIRD CONSECUTIVE YEAR

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YOUR DETAILS
Forename(s)
Surname
ELPGL computer number (if known)
Office (if not Secretary)
e-mail address
 
YOUR LODGE DETAILS
Name
Number
Regular meeting place
 
DISPENSATION REQUIREMENTS
Details of the current Worshipful Master
Forename(s)
Surname
ELPGL computer number (if known)
Date of Installation (in current term of office)
     Year 
Other details
Next regular Installation Meeting
  
  
Special circumstances warranting the request for a dispensation
Any additional comments