1. Grand Commandery of Knights Templar of Pennsylvania
2018 / 2019 Past Commander Jewel Order Form
Please Type or Print Legibly
Commandery Name
_____________________ Commandery Number
___________________
Jewel and Case Will Be Shipped to This Address:
Must be Street Address, (NO P.O. BOXES)
________________________
_________________, Pa. _______
Jewels Will Be Engraved with Commandery Name
and Commandery Number Exactly As Indicated Above
Mail Completed Form with $ Payment ,
(Commandery Checks ONLY) To
Grand Commandery
Masonic Temple
1 North Broad Street
Philadelphia, Pa
DEADLINE for ORDER and PAYMENT - APRIL 1, 2019
Orders Received After April 1, 2019 Subject to a $15.00 Surcharge
And April Delivery Will NOT be Guaranteed
PC JEWEL ORDER FORM DMR REVISED