Hiram Award Order

Lodge Name & Number *

Recipient's Name *

Recipient's Member ID *

Intended Date of Presentation *

Please be sure to give us 3-weeks’ lead time.

Does the lodge desire to purchase the optional lapel pin? *

Cost of the pin is $7 + postage and applicable sales tax.

Why has this individual been selected for a Hiram Award? *

Award order submitted by: *

The Hiram Award can be ordered by the Master or Secretary of the Lodge.

Email *

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