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Unique ID
Registration Date
MM slash DD slash YYYY
Registrant
Number in Your Party (Including You)
(Required)
Note - Only one York Rite Mason per registration.
Please select how many are in your party.
One
Two
More
Registrant's Name
(Required)
First
Middle
Last
Suffix
Registrant Cell Phone
(Required)
Registrant Email
(Required)
Registrant Mailing Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Spouse/Guest(s)
Spouse/First Guest
First
Middle
Last
Spouse/Guest Cell Phone
Spouse/Guest Email
Spouse/1st Guest Title/York Rite Honors
More Guests
Use the "PLUS in a Circle" on the right to add more people.
Name
Relationship
Cell Phone
Email
Title/Honors
Add
Remove
Your Masonic Affiliation
York Rite Affiliation
(Required)
PLEASE CHECK ALL THAT APPLY.
Master Mason
Royal Arch Mason
Cryptic Mason
Knight Templar
Non-Member Guest
Arizona Chapter, Council, Commandery Member?
(Required)
Please choose.
I am an Arizona York Rite Mason
I am a Visitor or Guest that is NOT a Member
REPRESENTING Another Organization
AASR - Scottish Rite
AAONMS - Shrine
OES - Eastern Star
ROA - Amaranth
IORG - Rainbow Girls
JDI - Jobs Daughters
IOD - DeMolay
SRICF - Rosicrucians
Knight Masons
AMD - Allied Masonic Degrees
RCC - Red Cross of Constantine
YRSC - York Rite Sovereign College
HRAKTP - Knight Templar Priests
KYCH - Knights of York Cross of Honour
Scottish Rite Salutation/Title
Scottish Rite Body Represented
Shrine Salutation/Title
Shrine Body Represented
Eastern Star Salutation/Title
Eastern Star Body Represented
Amaranth Salutation/Title
Amaranth Body Represented
Rainbow Salutation/Title
Rainbow Body Represented
Jobs Salutation/Title
Jobs Body Represented
DeMolay Salutation/Title
DeMolay Body Represented
Rosicrucian Salutation/Title
Rosicrucian Body Represented
Knight Masons Salutation/Title
Knight Masons Body Represented
AMD Salutation/Title
AMD Body Represented
Red Cross Salutation/Title
Red Cross Body Represented
York Rite College Salutation/Title
York Rite College Represented
Knight Templar Priests Title/Salutation
Knight Templar Priests Chapel Represented
KYCH Title/Salutation
KYCH Represented
Lodge Information
Lodge Honorific
(Required)
Brother
Worshipful Brother
Very Worshipful Brother
Right Worshipful Brother
Most Worshipful Brother
Lodge Office
(Required)
Not Currently Serving
Committeeman
Past Master
Musician
Historian
Tyler
Junior Steward
Senior Steward
Marshal
Junior Deacon
Senior Deacon
Chaplain
Secretary
Treasurer
Junior Warden
Senior Warden
Master
My Lodge
(Required)
Please select your Lodge
Other Jurisdiction (Not AZ)
Aztlan #1
Arizona #2
White Mountain #3
Tucson #4
King Solomon #5
Chalcedony #6
Flagstaff #7
Gila Valley #9
Wilcox #10
Nogales #11
Perfect Ashler #12
Central Arizona #14
Chandler - Thunderbird #15
Safford #16
Yuma #17
Oriental #20
Glendale $23
PVST #29
Pinal #30
Peoria #31
Epes Randolph #32
Montezuma #35
Williams - Grand Canyon #38
Adobe #41
Acacia #42
Scottsdale #43
Sahuaro #45
Eloy #46
Adobe #49
Wayfarers #50
Oasis #52
Huachuca #53
San Pedro #55
Marion McDaniel #56
Phoenicia #58
Builders #60
White River #62
Havasu #64
Jerusalem Daylight #66
Apache #69
Sy Harrison #70
Green Valley #71
Sun City #72
Nelson Bledsoe #74
Camelback Daylight #75
Camp Stone #77
Anahuac #81
Pioneer #82
El Quixote #83
Hunters Paradise #85
Downtown #86
Prometheus #87
Arizona Sunrise #88
Ascension # 89
Lodge Past Service
Past Master
Past DDGM
Past Grand Master
Grand Lodge Service
(Required)
Choose Your Current Grand Lodge Office
Not Currently Serving
Committee Member
District Deputy Grand Lecturer
District Deputy Grand Master
Grand Orator
Grand Historian
Grand Musician
Grand Tyler
Grand Sword Bearer
Grand Marshal
Junior Grand Steward
Senior Grand Steward
Junior Grand Deacon
Senior Grand Deacon
Grand Lecturer
Grand Chaplain
Past Grand Master
Grand Secretary
Grand Treasurer
Junior Grand Warden
Senior Grand Warden
Deputy Grand Master
Grand Master
Lodge Jurisdiction Represented
(Required)
Choose Your Jurisdiction or Organization
Grand Lodge of Arizona
Grand Lodge of California
Grand Lodge of Hawaii
Grand Lodge of Nevada
Grand Lodge of New Mexico
Grand Lodge of Utah
Other (Not Listed)
Chapter Information
Chapter Honorific
(Required)
Companion
Excellent Companion
Very Excellent Companion
Right Excellent Companion
Most Excellent Companion
Chapter Office
(Required)
Not Currently Serving
High Priest
King
Scribe
Treasurer/Secretary
Treasurer
Secretary
Chaplain
Captain of the Host
Principal Sojourner
Royal Arch Captain
Master of the Third Veil
Master of the Second Veil
Master of the First Veil
Sentinel
Musician
Committeeman
My Chapter
(Required)
Please select your Chapter
Other Jurisdiction (Not AZ)
Arizona Chapter #1
Tucson Chapter #3
Globe Chapter #7
Temple Chapter #8
Cochan Chapter #10
Burning Bush Chapter #14
Oasis Chapter #15
Pinaleno Chapter #16
Goldwater Chapter #18
Coronado Chapter #20
Damascus Chapter #21
King Solomon Chapter #22
Chapter Past Service
Past High Priest
Past Grand High Priest
Past Regional Deputy General Grand High Priest
Past General Grand High Priest
Grand Chapter Service
(Required)
Not Currently Serving
Committee Member
Grand Orator
Grand Historian
Grand Sentinel
Grand Master of the First Veil
Grand Master of the Second Veil
Grand Master of the Third Veil
Royal Arch Captain
Principal Sojourner
Grand Captain of the Host
Grand Chaplain
Past Grand High Priest
Grand Secretary
Grand Treasurer
Grand Scribe
Grand King
Grand High Priest
Grand Lecturer
Chapter Jurisdiction Represented
(Required)
Choose Your Jurisdiction or Organization
Grand Chapter of Arizona
Grand Chapter of California
Grand Chapter of Hawaii
Grand Chapter of Nevada
Grand Chapter of New Mexico
Grand Chapter of Utah
General Grand Chapter
Other (Not Listed)
General Grand Chapter Service
Not Currently Serving
Committee Member
Ambassador
Past Regional Deputy General Grand High Priest
Regional Deputy General Grand High Priest
Past General Grand Officer
General Grand Trustee
General Grand Librarian
General Grand Organist
General Grand Custodian of the Work
General Grand Sentinel
General Grand Master of the First Veil
General Grand Master of the Second Veil
General Grand Master of the Third Veil
General Grand Royal Arch Captain
General Grand Principal Sojourner
General Grand Captain of the Host
Associate General Grand Chaplain
General Grand Chaplain
Past General Grand High Priest
General Grand Secretary
General Grand Treasurer
General Grand Scribe
General Grand King
General Grand High Priest
Council Information
Council Honorific
(Required)
Companion
Illustrious Companion
Very Illustrious Companion
Right Illustrious Companion
Puissant Companion
Very Puissant Companion
Right Puissant Companion
Most Puissant Companion
Council Office
(Required)
Not Currently Serving
Illustrious Master
Deputy Master
Principal Conductor of the Work
Treasurer/Secretary
Treasurer
Secretary
Chaplain
Captain of the Guard
Conductor of the Council
Steward
Marshal
Sentinel
Musician
Historian
Orator
Committeeman
My Council
(Required)
Please select your Council
Other Jurisdiction Council (Not AZ)
Phoenix Council #4
Roskruge Council #6
Navajo Council #7
Tyrian Council #8
Bonita Council #9
Yuma Council #10
Rhodes Council #11
Agaman Council #12
Adoniram Council #14
Mesa Council #15
Stewart Council #16
Past Council Service
Past Illustrious Master
Past Illustrious Grand Master
Past Regional Deputy General Grand Master
Past General Grand Master
Grand Council Service
(Required)
Not Currently Serving
Committee Member
Grand Orator
Grand Historian
Grand Musician
Grand Lecturer
Grand Sentinel
Grand Marshal
Grand Steward
Grand Conductor of the Council
Grand Captain of the Guard
Grand Chaplain
Past Grand Master (Cryptic)
Grand Recorder
Grand Treasurer
Grand Principal Conductor of the Work
Deputy Grand Master
Grand Master (Cryptic)
Council Jurisdiction Represented
(Required)
Choose Your Jurisdiction or Organization
Grand Council of Arizona
Grand Council of California
Grand Council of Hawaii
Grand Council of Nevada
Grand Council of New Mexico
Grand Council of Utah
General Grand Council
Other (Not Listed)
General Grand Council Service
Not Currently Serving
Committeeman
Ambassador
Past Regional Deputy General Grand Master
Regional Deputy General Grand Master
Past Grand Officer
General Grand Musician
General Grand Orator
General Grand Historian
General Grand Sentinel
General Grand Marshal
General Grand Steward
General Grand Conductor of the Council
General Grand Captain of the Guard
General Grand Lecturer
Assistant General Grand Chaplain
General Grand Chaplain
Past General Grand Master
General Grand Recorder
General Grand Treasurer
General Grand Principal Conductor of the Work
Deputy General Grand Master
General Grand Master
Commandery Information
Commandery Service
(Required)
Sir Knight
Current or Past Commander
Current or Past Grand Officer
Current or Past Grand Encampment Officer
Commandery Office
(Required)
Not Currently Serving
Eminent Commander
Generalissimo
Captain General
Senior Warden
Junior Warden
Treasurer
Secretary
Prelate
Standard Bearer
Sword Bearer
Warder
Sentinel
Musician (Honorary)
Committeeman
My Commandery
(Required)
Please select your Commandery
Other Jurisdiction (Not AZ)
Arizona Commandery #1
Phoenix Commandery #3
Calvary Commandery #8
Columbine Commandery #9
Yuma Commandery #10
Crusade Commandery #11
King of Kings Commandery #12
Mohave Commandery #13
Burning Taper Commandery #15
Apache Commandery #16
St. Andrew Commandery #17
Past Commandery Service
Past Commander
Past Grand Commander
Past Department Commander
Past Grand Master GEKT
Grand Commandery Service
(Required)
Not Currently Serving
Committee Member
Aide-De-Camp
Grand Musician (Honorary)
Grand Commandant
Grand Inspecotr General
Grand Sentinel
Grand Warder
Grand Sword Bearer
Grand Standard Bearer
Grand Recorder
Grand Treasurer
Grand Junior Warden
Grand Senior Warden
Grand Captain General
Grand Generalissimo
Deputy Grand Commander
Grand Commander
Commandery Jurisdiction Represented
(Required)
Choose Your Jurisdiction or Organization
Grand Commandery of Arizona
Grand Commandery of California
Grand Commandery of Hawaii
Grand Commandery of Nevada
Grand Commandery of New Mexico
Grand Commandery of Utah
Grand Encampment
Other (Not Listed)
Grand Encampment Office
Not Currently Serving
Committeeman
Right Eminent Past Department Commander
Right Eminent Department Commander
Associate Right Eminent Grand Prelate
Right Eminent Grand Prelate
Most Eminent Past Grand Master
Right Eminent Grand Recorder
Right Eminent Grand Treasurer
Right Eminent Grand Captain General
Right Eminent Grand Generalissimo
Right Eminent Deputy Grand Master
Most Eminent Grand Master
PGC Jurisdiction
First Choice
Second Choice
Third Choice
I/We intend to participate in:
Public Events
(Required)
Grand Chapter Installation
Grand Council Installation
Grand Commandery Installation
Grand York Rite Vespers Service
Thursday Lunch
Holy Land Pilgrimage Dinner
Friday Lunch
Grand York Rite Banquet
Saturday Lunch
Select All
Capitular Events
(Required)
You must be a Royal Arch Mason to attend the Grand Chapter Session, and a current or Past High Priest to attend the Order of the High Priesthood.
Grand Chapter Session
High Priesthood
Select All
Cryptic Events
(Required)
You must be a Royal and Select Master to attend the Council Session, and a current or Past Illustrious Master to attend the Order of the Silver Trowel.
Grand Council Session
Silver Trowel
Select All
Chivalric Events
(Required)
You must be a Knight Templar to attend the Grand Commandery Session, and a current or Past Commander to attend the Past Commander's Association.
Grand Commandery Session
Past Commanders
Select All
Organization Dignitary
DeMolay Dignitary
Jobs Daughters Dignitary
Rainbow Dignitary
The Grand Master of Masons In Arizona
Chapter Representative
(Required)
Not a Chapter Dignitary
Representative of the Grand High Priest (Not AZ)
Grand High Priest (Not Arizona)
Regional Deputy General Grand High Priest
Representative of the General Grand High Priest
General Grand High Priest
Council Representative
(Required)
Not a Council Dignitary
Representative of the Illustrious Grand Master (Not AZ)
Illustrious Grand Master (Not Arizona)
Regional Deputy General Grand Master
Representative of the General Grand Master
General Grand Master
Commandery Representative
(Required)
Not a Commandery Dignitary
Representative of the Grand Commander (Not AZ)
Grand Commander (Not Arizona)
Department Commander
Representative of the Grand Master GEKT
Grand Master GEKT
Grand High Priest Represented
First
Middle
Last
Grand Secretary for this Jurisdiction
First
Middle
Last
Grand Secretary Email
Grand Secretary Phone
Grand Illustrious Master Represented
First
Middle
Last
Grand Recorder for this Jurisdiction
First
Middle
Last
Grand Recorder Email
Grand Recorder Phone
Grand Commander Represented
First
Middle
Last
Grand Recorder for this Jurisdiction
First
Middle
Last
Grand Recorder Email
Grand Recorder Phone
Delegates
In Chapter I Am
Please choose:
Not Personally Entitled to Vote
High Priest
King
Scribe
Past High Priest
I am Proxying My Chapter's (Limit 2)
High Priest
King
Scribe
In Council I Am
Please choose:
Not Personally Entitled to a Vote
Illustrious Master
Deputy Master
Principal Conductor of the Work
Illustrious Past Master
I Am Proxying My Council's
Illustrious Master
Deputy Master
Principal Conductor of the Work
In Commandery I Am
Please choose:
Not Personally Entitled to Vote
Commander
Generalissimo
Captain General
Past Commander
I Am Proxying My Commandery's
Commander
Generalissimo
Captain General
Side Bodies
Order of the High Priesthood
I will be attending the Order of the High Priesthood as a:
Member
Candidate
Visitor
Order of the Silver Trowel
I will be attending the Order of the Silver Trowel as a:
Member
Candidate
Visitor
Past Commander's Association
I will be attending the Past Commander's Association as a:
Member
Candidate
Visitor
Meals
Thursday Lunch
Thursday Dignitary Lunch
Grilled Herb Chicken, Roasted Potatoes, Vegetable Medley, Rolls & Butter, New York Cheesecake, Coffee & Iced Tea
Price:
Thurs Dignitary Lunch Quantity
Please enter a number from
0
to
2
.
Thurs Dignitary Lunch Subtotal
$0.00
Thursday Lunch
Grilled Herb Chicken, Roasted Potatoes, Vegetable Medley, Rolls & Butter, New York Cheesecake, Coffee & Iced Tea
Price:
Thurs Lunch Quantity
Please enter a number greater than or equal to
0
.
Thurs Lunch Subtotal
$0.00
Holy Land Pilgrimage Fundraising Banquet
Holy Land Pilgrimage Fundraising Banquet
Roasted Chicken, Mashed Potatoes, Green Beans, Salad, Dinner Rolls, Cake with Fruit Topping
Price:
HLP Quantity
HLP Subtotal
$0.00
Friday Lunch
Friday Dignitary Lunch
Caesar Salad, Spaghetti and Meatballs, Breadsticks, Seasonal vegetables, Tiramisu, Coffee & Iced Tea
Price:
Fri Dignitary Lunch Quantity
Please enter a number from
0
to
2
.
Fri Dignitary Lunch Subtotal
$0.00
Friday Lunch
Caesar Salad, Spaghetti and Meatballs, Breadsticks, Seasonal vegetables, Tiramisu, Coffee & Iced Tea
Price:
Fri Lunch Quantity
Please enter a number greater than or equal to
0
.
Fri Lunch Subtotal
$0.00
Grand York Rite Banquet
Friday Dignitary Banquet - Steak
Market Fresh Field Greens with Alfalfa, Shaved Radish, Goat Cheese, Crumbles & Candied Pecans, Chef's choice of Dressing, New York Steak, Herb Roasted Potatoes, Lemon scented Asparagus
Price:
Fri Dignitary Banquet Quantity - Steak
Please enter a number from
0
to
2
.
Fri Dignitary Banquet Subtotal - Beef in Gravy
$0.00
Friday Dignitary Banquet - Chicken
Pan Roasted Chicken Breast with Lemon Thyme jus, Herb Roasted Potatoes, Roasted Vegetable Medley, Rolls & Butter, Chocolate Torte, Coffee & Iced Tea
Price:
Fri Dignitary Banquet Quantity - Chicken
Please enter a number from
0
to
2
.
Fri Dignitary Banquet Subtotal - Cornish Hen
$0.00
Friday Dignitary Banquet - Vegetarian
Chef's Choice
Price:
Fri Dignitary Banquet Quantity - Vegetarian
Please enter a number from
0
to
2
.
Fri Dignitary Banquet Subtotal - Vegetarian
$0.00
Friday Banquet - Steak
Market Fresh Field Greens with Alfalfa, Shaved Radish, Goat Cheese, Crumbles & Candied Pecans, Chef's choice of Dressing, New York Steak, Herb Roasted Potatoes, Lemon scented Asparagus
Price:
Fri Banquet Quantity - Steak
Please enter a number greater than or equal to
0
.
Fri Banquet Subtotal - Beef in Gravy
$0.00
Friday Banquet - Chicken
Pan Roasted Chicken Breast with Lemon Thyme jus, Herb Roasted Potatoes, Roasted Vegetable Medley, Rolls & Butter, Chocolate Torte, Coffee & Iced Tea
Price:
Fri Banquet Quantity - Chicken
Please enter a number greater than or equal to
0
.
Fri Banquet Subtotal - Cornish Hen
$0.00
Friday Banquet - Vegetarian
Chef's Choice
Price:
Fri Banquet Quantity - Vegetarian
Please enter a number greater than or equal to
0
.
Fri Banquet Subtotal - Vegetarian
$0.00
Saturday Lunch
Saturday Dignitary Lunch
Chili Spiced Pork Tenderloin, White Bean Cassoulet, Grilled Asparagus, Rolls & Butter, Red Velvet Mini Cakes with Vanilla Bean Cream
Price:
Sat Dignitary Lunch Quantity
Sat Dignitary Lunch Subtotal
$0.00
Saturday Lunch
Chili Spiced Pork Tenderloin, White Bean Cassoulet, Grilled Asparagus, Rolls & Butter, Red Velvet Mini Cakes with Vanilla Bean Cream
Price:
Sat Lunch Quantity
Sat Lunch Subtotal
$0.00
Sessions Fees
Payment
(Required)
Please select how this is paid.
Pay by Credit Card Online (PayPal)
By Check
By Zelle - gyrzelle@gmail.com
Early Bird Registration Fee
Price:
Registration Fee
Price:
Convenience Fee
$0.00
Total
CAPTCHA
Administrative Use
Chapter Courtesy
Council Courtesy
Commandery Courtesy
Banquet Courtesy
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