Springville #153 F. & A.M.

Demonstrating Freemasonry for 157 Years
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Sickness and Distress Submission Form

Please submit the name and circumstances that you would like to have included on the page sickness and distress. When you submit please provide any instructions regarding the posting of the information you have submitted to protect the privacy of those who will appear on the Sickness and Distress Page.

The purpose of this page is not to infringe on personal privacy but to communicate such information faster across a broader range or Masons who are willing to help out.
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Please provide the following only -

Name
Condition
Location [Home or Hospital]
Name and Room Number of Hospital
Information on whether this person desires to be contacted or remain private
Please provide the Webmaster with your desire to have the information posted on this website or simply to help spead the word on the individual listed.
No one will added to the website without permission from the family or individual. Any Master Mason who authorizes such information to be posted will be accountable for such information being publically posted.
Tip [Contact any family or individual for permission]
* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message (required):