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THE GRAND AND GLORIOUS ORDER OF THE HILLBILLY DEGREE CLAN NO. 53
THREE RIVERS HILLBILLY LIFETIME MEMBERSHIP FEE OF $35 BRINGS YOU
CLAN NO. 53 THE FOLLOWING:
* LIFETIME NUMBERED MEMBERSHIP CARD
* REGISTER MAINTAINED
Bob Kording * HILLBILLY HAT
732 Bell Point Rd * FEATHER FOR YOUR HAT
* CORNCOB PIPE
Apollo, PA 15613 * CLOTH PATCH WITH HILLBILLY EMBLEM FOR
YOUR HAT OR BLAZER
* DECAL FOR YOUR CAR
* PAYS ALL INITIATION FEES
* 1-YEAR SUBSCRIPTION TO HILLBILLY NEWS
1. This organization shall be restricted to members in good standing of the Ancient Order of the Nobles of the
Mystic Shrine for North America.
2. The purpose of this organization is to promote sociability among members and to provide finances for the
Shriner’s Hospitals. Any and all profits from the membership fees or activities of this organization will be for
the children in the Shriners’s Hospitals for Children and/or burn institutes.
3. All money collected by the Grand and Glorious Order of the Hillbilly Degree shall go into a fund. Payments from
this fund will cover actual cost of membership and ritual expenses only. All remaining funds after payment of
just expenses will be donated to the Shriner’s Hospitals no later than 30 days after each annual meeting.
4. All officers are expected to donate their time and efforts without cost to the organization.
5. All members are expected to promote the organization and to assist in any way the Rabban of the Clan shall
instruct. Hillbilly attire required at all events.
DETACH ALONG DOTTED LINE
THREE RIVERS HILLBILLY MAIL THIS PETITION TODAY!
CLAN NO. 53 Please check one or both:
Bob Kording Shriners Fee □ $35 Enclosed
732 Bell Point Rd Shriners Lady’s Fee □ $15 Enclosed
Apollo, PA 15613
□ I am a Shriner and will attend the next Ceremonial □ I am a Shriner and will
Lady’s Name _______________________________________ Noble’s Email ________________________________
Noble’s Name _______________________________________ Unit or Club _________________________________
Street _____________________________________________ City ________________________________________
State _____________________________ Zip __________________ Phone _________________________________
Temple _______________________________________ Noble’s Shrine Card No. _____________________________
EVENTS DO NOT BENEFIT SHRINER’S HOSPITALS AND ARE NOT TAX DEDUCTIBLE
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