Request for e-mail Delivery of Communication

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Choose onePlease send my monthly Communication Notice from Star of Bethlehem Lodge A.F. & A.M. via (Click on check box to select) (required)

US MAIL (I understand that this will be in lieu of receiving my monthly Communication Notice via the U.S. Postal Service.) ELECTRONIC MAIL I already receive my monthly Communication Notice via e-mail.

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Please send me any important AMG ALERT Notifications via my preferred method: (Click on check box to select)

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WOULD YOU LIKE TO HAVE A MASONIC FUNERAL (click on check box to select)?

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MILITARY SERVICE: YES (click on check box to select) e

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WHAT IS (WAS) THE NAME OF YOUR SPONSOR INTO MASONRY?

ARE YOU A FIRST RESPONDER (click on check box to select)?

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ARE YOU A LAW ENFORCEMENT OFFICER (click on check box to select)?

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Secretary	Assistant Secretary	Regular Communication
Wor. Sergio M. Jaramillo	Bro. David J. Fama	Third Wednesday of the Month
5 Linden Glen, Canton, MA 02021	29 Sandra Road, Peabody, MA 01960
sergioj@verizon.net	davidfama@comcast.net

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