District 15-A of the Grand Lodge of Virginia









This form is provided to the Members of Metropolitan Lodge #11 for the express purpose of providing updated contact information to our Lodge Secretary who in turn will pass it along to the Grand Lodge of Virginia. Keep us Updated so we may keep you Informed about YOUR Lodge!

Please provide the following UPDATED contact information and click on SUBMIT FORM at the bottom when finished:

First Name
Middle Name
Last Name
Title (Brother, Worshipful,
Right Worshipful, etc)
Street Address
Address (cont.)
Zip/Postal Code
Work Phone (with Area Code)
Home Phone (with Area Code)
To Receive our Electronic Bulletins and Notices
please provide your E-mail address

Are You a Law Enforcement Officer (Current or Past)?    Yes No

Enter your Spouse's First Name in the space provided:  

Metropolitan Lodge #11, A. F. and A. M.
Copyright 2015 Metropolitan Lodge. All rights reserved.  
This information is provided and used for official Lodge Business ONLY!
Revised: 12/09/15