THE ORDER OF THE SECRET MONITOR
OR BROTHERHOOD OF DAVID & JONATHAN
PROVINCE of WEST YORKSHIRE
CESSATION OF MEMBERSHIP
& CHANGE OF DETAILS NOTIFICATION
CONCLAVE NAME ..No
To the Provincial Grand Secretary, please note:-
DIED / RESIGNED / WAS EXCLUDED / MADE HONORARY MEMBER
(Please delete non applicable)
In the case of resignation, please give reason, in the case of exclusion state; Rule No 85 or Rule 119.
CHANGE OF DETAILS:
EMAIL (if any) ..
Please return to Provincial Grand Secretary as soon as possible after the change in membership or details. (Please do not wait until the Annual Returns.)
SIGNED . Conclave Secretary.