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 printed certificate will be mailed to Recorder on file.Select Royal & Select Masters Council *Hiram No. 1 – St. LouisHiram No. 1 – St. LouisMarion No. 3 – At LargeSt. Joseph No. 9 – St. JosephCape No. 20 – Cape GirardeauShekinah No. 24 – Kansas CItyZabud No. 25 – SpringfieldPoplar Bluff No. 27 – Poplar BluffJasper No. 30 – JoplinEzra No. 32 – Jefferson CityCentralia No. 34 – ColumbiaRolla No. 39 – RollaYork No. 40 – WentzvilleCarthage No. 41 – CarthageJohn F. Houston No. 34 – LexingtonBonne Terre No. 43. – FarmingtonKirksville No. 44 – KirksvilleKansas City No. 45 – Kansas CityNeosho No. 46 – NeoshoTrinity No. 47 – HannibalJeremiah No. 61 – Webster GrovesIndependence No. 49 – IndependenceLiberty No. 50 – LibertyOriental-Rabboni No. 78 – Webster GrovesHarmony No. 53 – BethanyLebanon No. 56 – LebanonBert S. Lee No. 58 – GreenfieldShelby No. 59 – ShelbinaNevada No. 65 – NevadaName *FirstLastNew Members Council MMS Number *Royal Master Degree Date: *Select Master Degree Date: *Super Excellent Master Degree Date: *Submit Certificate Request
