Get Application For Demit Date Recorder - Medinah Shriners

Filling out the APPLICATION FOR DEMIT DATE RECORDER is an important step for members who wish to demit from Medinah Temple. This guide provides clear, step-by-step instructions to help users complete the form online effectively.

Follow the steps to complete your application with ease.

1. Click the ‘Get Form’ button to access the APPLICATION FOR DEMIT DATE RECORDER and open it in your browser.
2. Enter the date on which you are submitting the demit request in the designated field labeled 'DATE.' Ensure the format is correct.
3. In the section titled 'RECORDER,' clearly state your request to demit from Medinah Temple. You may phrase it as 'I respectfully request to demit from Medinah Temple.'
4. Review the statement regarding your dues. Acknowledge that your dues are up to date and mention that if there is an error, you wish to be notified. This ensures you're compliant with the requirements.
5. Acknowledge that your demit certificate will be accepted at other Temples or for re-affiliation. You can add a statement reflecting your understanding of this condition.
6. Sign the form in the 'SIGNATURE' field to validate your request.
7. Print your full name in the 'PRINT NAME IN FULL' section to confirm your identity.
8. Fill out your address, including your street address, city, state, and ZIP code in the respective fields.
9. Enter your member number in the 'MEMBER NUMBER' field to help identify your account.
10. Once you have completed all sections accurately, save your changes, and you may choose to download, print, or share the form as needed.

Complete your APPLICATION FOR DEMIT DATE RECORDER online today to ensure a smooth process.