Most
Worshipful Prince Hall Grand Lodge F. &A.M.
of the State
of New Mexico Inc. 525 San Pedro Drive
NE
Albuquerque,
New Mexico 87108-1859
505-268-5823 FAX 505-254-7638
Dispensation
for Worthy Patron
Request dispensation be granted to__________________________Lodge No.________to
permit Brother__________________________to become Worthy Patron for
__________________________Chapter No.______. Brother______________________
does not possess the following requirement____________________________________.
Enclosed is a check in the amount of $5.00 payable to the M.W. Prince hall Grand
Lodge.
Fraternally,
__________________
Worshipful Master
Lodge Seal