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Get IA Grand Lodge of Iowa A.F. & A.M. Form No 12

___, Iowa: __________________________________________ Lodge No. _____, A.F. & A.M., __________________________________________, Iowa: I fraternally represent that I am a member of the above named I fraternally represent that I am a member of the above named lodge and that I am desirous of terminating my membership therein. lodge and that I am desirous of terminating my membership therein. Having complied with the requirements of the Masonic Code of Having complied with the requirements of.

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