Register

First Name*

Last Name*

Masonic Rank*

Date of birth*

Email Address*

Password*

Confirm Password*

Phone Number

Address line 1*

Address line 2*

Town/City*

Post code*

I am a member of a:*

Lodge/Chapter under the Provincial Grand Lodge/Chapter of South WalesLodge/Chapter under a different Metropolitan/Provincial/District Grand Lodge/Chapter, but am permanently living and/or working in South Wales

Date of Initiation*

Lodge name*

Lodge number*

Metropolitan/Provincial/District Grand Lodge/Chapter (if not South Wales):*

All club members must abide by its constitution. A copy of which can be requested from the Club Secretary. Please make sure you read it and understand it.

Declaration*

I, the above named brother, herby agree to abide by the Constitution and Regulations of the Colonnade Club and consent to my name being included on a membership list, which is available to members. I also consent to being contacted by the Colonnade Club and to recive regular email and postal updates.GDPR: I, the above named brother, hereby consent to the processing of personal data and information supplied on this Membership Form and in consequence of my membership, and its use by the Colonnade Club, the Provincial Grand Lodge of South Wales and the Provincial Grand Chapter of South Wales.

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