Supreme Assembly Membership Form

CALIFORNIA

Supreme Assembly Membership Program
2002-2004

"Our Rainbow Garden of Dreams in God’s Wonderful World of Color"

Assembly Name and Location: ________________________________________________________________

Mother Advisor’s Name: _____________________________________________________________________

Complete Mailing Address (please type or print legibly): ________________________________________

City: Zip: _________________________________________________________________________________

The following member(s) brought in her FIRST petition and the petitioner has been initiated. Charm Bracelet & Rose Charm as well as an identification/membership card as a member of the Supreme Worthy Advisor’s "Rainbow Garden of Dreams" Club.

Name of girl who brought in petition	Name of petitioner	Initiation Date

The following member(s) brought in her SECOND petition and petitioner has been initiated. Sunflower Charm and Frog

Name of girl who brought in petition	Name of petitioner	Initiation Date

The following member(s) brought in her THIRD petition and petitioner has been initiated. Daffodil Charm and Four Leaf Clover

Name of girl who brought in petition	Name of petitioner	Initiation Date

The following member(s) brought in her FOURTH petition and petitioner has been initiated. Grasshopper Charm and Fern

Name of girl who brought in petition	Name of petitioner	Initiation Date

The following member(s) brought in her FIFTH petition and petitioner has been initiated. Bluebird Charm and Forget-Me-Not

Name of girl who brought in petition	Name of petitioner	Initiation Date

The following member(s) brought in her SIXTH petition and petitioner has been initiated. Iris Charm and Bunny

Name of girl who brought in petition	Name of petitioner	Initiation Date

The following member(s) brought in her SEVENTH petition and petitioner has been initiated. Butterfly Charm and Violets

Name of girl who brought in petition	Name of petitioner	Initiation Date

After you have brought in seven new members, bring in just 3 more and you will receive your own White Bible (or something comparable if you already have a White Bible).

Bring in another 4 members after this award and Supreme Assembly will purchase a special brick with your name, as a VIP, and place it in the Memorial Garden in McAlester! If you are the first to reach this level the Supreme Worthy Advisor will have something very special for you!

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Supreme Assembly Membership Program
Our Rainbow Garden of Dreams
in God's Wonderful World of Color
August 2002 to August 2004

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