New Membership Card

Member Information
Please use this form to request a new membership card if your DeMolay Jurisdiction is part of DeMolay International or you were a member of a Chapter in the Philippines prior to March 1985. If your membership is in a Chapter in Australia, Brazil, Canada or The Philippines (after March 1985), you will need to contact those Supreme Councils to acquire a new card. Requests received for cards from members of other Supreme Councils will be refunded less processing fees.

If you have questions about your membership, please email us at DeMolay@DeMolay.org to verify if you should request a card using this form.
Card Type:*
ID#
Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Preferred Email*
DeMolay Career
Jurisdiction*
Chapter Name*
Chapter Number
Initiation Date*
Date Format: MM slash DD slash YYYY
Manor Name*
Squire Date*
Date Format: MM slash DD slash YYYY
Priory Name*
Knighthood Date*
Date Format: MM slash DD slash YYYY
Ebon Degree Date
Date Format: MM slash DD slash YYYY
Honors Received
- CHEV
- LOH
- COH
- RD
- BHK
- PMC-MSA
Chevalier*
Legion of Honor*
Cross of Honor*
Representative DeMolay*
Blue Honor Key*
PMC-MSA*
New Membership Card
Price
$0.00
*additional shipping charges for those outside the US.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA

Member Information