Grand Lodge Of Nebraska

Lodge:	*
Lodge Secretary Name:	*
Lodge Secretary Email:	*

The following officers were elected at a Regular Communication held on * * , * .

Master: First, Middle, Last Name:
Mailing Address:
City, State, Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Print selected phone number in Lodge Officers Directory: *

Senior Warden: First, Middle, Last Name:
Mailing Address:
City, State, Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Print selected phone number in Lodge Officers Directory: *

Junior Warden: First, Middle, Last Name:
Mailing Address:
City, State, Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Print selected phone number in Lodge Officers Directory: *

Treasurer: First, Middle, Last Name:
Mailing Address:
City, State, Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Print selected phone number in Lodge Officers Directory:

Secretary: First, Middle, Last Name:
Mailing Address:
City, State, Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Print selected phone number in Lodge Officers Directory: *

Newly Elected Secretary?	*

Please provide the name(s) and e-mail addresses for the person(s) you would like to receive all official Grand Lodge notifications for your lodge. Please be sure these are email addresses that are not likely to change during the year:
Name:*
Email:*

Name:
Email:

Name:
Email:

Name:
Email:

Additional Comments:


A copy of the report will be emailed back to you upon receipt. If desired, print a copy of the report for your records before clicking Submit Application. If you don't see the confirmation page after clicking SubmitApplication, scroll up and verify that all required fields (noted with asterisks) have been filled in or an item chosen from the dropdown box.

Election of Officers