Petition for Affiliation 
	_______ 20 	_ 
To the Worthy Matron, Officers and Members of 		Chapter 
		No. 	of 	. Order of the Eastern Star 
		The undersigned..a fe-rmer memberof 	Chapter No. 	_ 
	of 	solicits affiliation with your Chapter. If this petition be 
granted, she/he pledges herselflhimselfto a cheerful obedience of the laws of the Order. 

Recommended by: 

Signed 	_ 
Residence 	_ 

Referred to the following Investigating Committee: 
REPORT OF INVESTIGATING COMMITTEE 
	_______ 20 	_ 
	The undersigned, your Investigating Committee in the case of 	_ 
a petitioner for affiliation, respectfully reports favorable/unfavorable to her/his admission 
thereto. 
Investigating Committee: 

Elected 
Rejected 

____ 20 
____ 20 
S144 - Petition for Affiliation. Printed in U.SA by the General Grand Chapter, O.E.S.