Resignation Form

This form should be completed and submitted to the Provincial Grand Secretary as soon as the Lodge Secretary/Scribe receives a resignation. A copy of the completed form will be automatically emailed to you.
You may add a copy of the brother’s resignation letter.

Lodge Name & Number *

Name Of Secretary / Scribe *

First

Last

Email Of Secretary / Scribe *

Brother *

Brothers Name *

First

Last

MMH Number *

Address – House Name / Number *

Street / Road Name *

Town / City *

County *

Postcode *

Telephone *

Resignation Date – Date

Month *

Year *

Grand Rank (if applicable)

Provincial Grand Rank (if applicable)

Reason for Resignation *

Do you feel this reason is accurate? *

Other Mark/RAM Lodges

Add Resignation Letter *

Click or drag a file to this area to upload.