Please enable JavaScript in your browser to complete this form.All fields must be filled out accurately, as the information entered will be used to generate the certificate. The certificate will be mailed to Recorder on file. If a 50-year service request a 50 year uniform jewel will be included.Select Commandery of Knight Templar *DeMolay No. 3 - LexingtonDeMolay No. 3 - LexingtonHugh De Payens No. 4 - St. JosephsExcalibar No. 5 - HannibalLiberty No. 6 - LibertyIvanhoe No. 8 - HazelwoodKansas City No. 10 - Kansas CitySt. Graal No. 12 - ColumbiaO'Sullivan No. 15 - NevadaAscalon No. 16 - St. LouisPalestine No. 17 - IndependenceSt. John's No. 20 - SpringfieldEly No. 22 - KirksvilleConstantine No. 27 - GreenfieldPrince of Peace No. 29 - Jefferson CityJasper No. 31 - CarthageLebanon No. 33 - LebanonOriental No. 35 - Kansas CityAscension No. 39 - JoplinBethany No. 42 - BethanySt. Elmo No. 43 - BolivarLebanon No. 64 - LebanonCape Girardeau No. 55 - Cape GirardeauDe Soto No. 56 - FarmingtonNeosho No. 57 - NeoshoRolla No. 59 - RollaPoplar Bluff No. 67 - Poplar BluffMalta No. 72 - ShelbinaName *FirstLastMember Commandery MMS Number *Order of the Temple Date: *Service Years *Specify 25, 50, or special number of yearsSubmit Certificate Request
