Contact us

For membership inquiries please fill out the below form and someone will contact you.
All information and submissions will be treated confidentially.
Only complete inquiries will be treated seriously

First name

Surname

Also Known As / Alias

Date of Birth

Place of Birth

What is your current occupation

What town is Nearest your home

Your email

Preferred contact number (please include area code)

Best time to call (eg: weekdays after 10am)

Have you ever solicited admission to this or any other lodge in the past ? YesNo

If yes, which lodge
and when

Your message (optional)