Recommended by ..............

of ..............

................ of ...... Lodge,

F. & A. M. of ............

PETITION FOR AFFILIATION.

To the Worthy Matron, Officers, and Members of ...... Chapter, No. ......, Order of the Eastern Star:

The undersigned, late a member of ........ Chapter, No. ......, of ............., solicits Affiliation with your Chapter.

If this Petition shall be granted, .. he pledges .... self to a cheerful obedience to the laws of the Order.

Residence ............

Signed ................