New Membership Card - DeMolay International Celebrates its Centennial Year

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*

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

Manor Name

Squire Date*

Priory Name*

Knighthood Date*

Ebon Degree Date

Honors Received

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

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