Prospect Patch Order Form

FREE RUNNERS MASONIC ORDER WORLDWIDE

Prospect Patch Order Form

The following form is to be used by State Presidents, POC’s and Chapter Presidents for the ordering of Patches for Prospects.

Please be sure that payment has been sent PRIOR to submitting the order form for prospect patches. Payment of fees are required prior to the order being placed.

Fees of $250.00 are to be sent to the National Treasurer via PayPal:

CLICK TO PAY

NOTE: Under “Payment Type”, please choose the “for friends & family” option to ensure you do not incur any additional processing fees.

INITIAL PATCH ORDERS

All Patch Orders include the standard patches that all members receive (Upper and Lower Rockers, Master Masons Rockers, Center Patch and FRMO Cube). All other patches are selected in the list below. Please be sure to select the correct patch colors for your state.

SHIPPING INFORMATION

Please provide the shipping information for this order. PLEASE NOTE: Initial patch orders should be shipped to the State President, POC or Chapter President. In the case that this needs to be sent to the Prospect directly, please use his address on the form.

Name *

First

Last

Email *

Patch Colors *

Road Name Tape *

Flag Patch *

Masonic Tape *

Veteran Tape *

State/Province No. Tape *

Chapter Name Tape *

Optional Masonic Patches

Other Optional Tapes

Notes/Comments (Optional)

SHIP TO: First & Last Name *

Street Address *

City/Town *

State/Province *

Zip/Postal Code *

Country *