PETITION FOR DEGREES.
To the Worthy Matron, Officers, and Members of ...... Chapter, No. ......, Order of the Eastern Star:
The undersigned respectfully petitions to receive the Degrees of the Order of the Eastern Star, and become a member of your Chapter.
If accepted, ... he pledges .... self to a cheerful obedience to the laws of the Order.
Residence ...........
Signed .................
Recommended by ..............
of ..............
................ of ...... Lodge,
F. & A. M. of ............