Membership Enquiry FormIf you are interested in becoming a Freemason, please fill out the form below or download and complete the application form.Download Application Form (PDF) Name First Last Home Address (Current)* Address Line 1 Address Line 2 City/Town County Postcode Have you lived at your current address more than 10 years?*YesNoHome Address (last 10 years if different to above) Address Line 1 Address Line 2 City/Town County Postcode Do you expect to reside and/or work in Cornwall for the next 5 years?YesNoAre you a British national?YesNoWhat is your Nationality?Do you reside permanently in the UK?YesNoBusiness Name and Address Address Line 1 Address Line 2 Town / City County Post Code Occupation: (e.g. Clerk in Accountant's officer/carpenter/shop assistant), please state if you're self-employed/retired/unemployed)Home PhoneBusiness PhoneMobile PhoneEmail Address Date of Birth Date Format: MM slash DD slash YYYY Marital StatusWife / Partners name (If Applicable)Is your wife/partner happy for you to be a Freemason?YesNoNumber of Children and their agesHave you previously applied to become a Freemason in the UK or in any other country?Do you believe in a Supreme Being?For example God/Allah/Creator of the Universe etc... we need this information so we are able to accommodate any special requirements you may have.Why do you want to become a Freemason?This question must be answered, please limit to 100 words or less - a fuller explanation may be given at interview/induction if invitedDo you have a criminal record?If so please give details or offences, when committed and sentenced. A criminal record does not necessarily prevent you from becoming a Freemason, however it does depend on the severity of the offence(s) and when committed. Please note a drink driving conviction is classed as a criminal offence, also please disclose any CCJ'sSome lodges are relatively inexpensive to be a member of and others dine in more prestigious surroundings, it is important to consider that you are able to meet these costs without detriment to yourself or family. As a guideline, an estimated cost is approximately £300 pa. Does your Wife / Partner agree?YesNoAre you willing to commit to attend as many Lodge functions and social events as you can?YesNoDoes your Wife / Partner agree?YesNoWhere is your preferred area of attendance (do you Drive)?We always attempt to place you within 15-20 miles of your home address This iframe contains the logic required to handle Ajax powered Gravity Forms.