Blockbooking

Name *

First

Last

Email *

Your details

Address

Address Line 1

City

State / Province / Region

Postal Code

Rank *

Group *

St James Chapters

St John Chapters

St Matthew Chapters

St Paul Chapters

St Peter Chapters

Members & Guests

Paragraph Text

Please list Members by giving their name and rank preceded by the letter “M” to denote Member. Please add the Name, Lodge and Lodge No for any guests, after the Members details preceded by the letter “G” to signify a Guest.

Payment

When paying by electronic transfer or cheque please use your Surname and Chapter Number as reference.

Account name: Rose Croix St Peter’s Group
Account number: 5174 5860
Sort Code: 60 01 34

Please send your cheque to:
Mr A Erwin, Treasurer
26 Morella Road
London SW12 8UH

Multiple Choice *

I confirm that payment will be made today by electronic transfer to the account above
I confirm payment by cheque has been sent to Mr A Erwin, Treasurer, 26 Morella Road, London SW12 8UH

Chapter Recorders Block Booking

Your details

Members & Guests

Payment