16-05-01 Emeritus Member Annual Certification Information Sheet Template

January 1, 2011

Subject: Emeritus Member Annual Certification Information Sheet

«FIRST_NAME» «LAST_NAME»

«STREET» «UNIT»

«CITY», «ST» «ZIP»+«Zip4»

Phone: «PHONE»

Born: «BORN»

Raised to degree of Master Mason: «MM_Degree»

Notes: «NOTES»

EXPLANATION: If the Worshipful Master appoints Brothers other than the Secretary to contact Emeritus Members, the Secretary can prepare this information sheet for each caller’s assigned Emeritus members.

This sheet will be returned to the Secretary at the completion of the certification contact.

C:\Secretarys How to Guide\16Dues Processing Letters & Checklists\16-05-01 Emeritus Member Annual Certification Information Sheet Template.doc