Provincial Grand Lodge of Warwickshire

Change of Circumstance Form

This form is for the sole use of Lodge Secretaries whose Lodges meet in the Province of Warwickshire.

The following form can be used to advise Province of changes in Lodge memberships.

Change of Circumstance Form (Word Version)

Change of Circumstance Form (PDF Version)

Please send your completed form by post to the Provincial Office.

Grand Lodge Certificate Request Form

Please find attached the Grand Lodge Certificate Request Form (LP&A5).  Please send this either electronically to This email address is being protected from spambots. You need JavaScript enabled to view it. (as stated on the form) or by post via the Provincial Office for onward transmission to United Grand Lodge of England.

Provincial Office Address:

Provincial Grand Secretary, 
Yenton Assembly Rooms,
73 Gravelly Hill North,
Erdington ,
Birmingham
B23 6BJ.

Contact Us

The Provincial Grand Lodge of Warwickshire
Yenton Assembly Rooms
73, Gravelly Hill North, Erdington
Birmingham B23 6BJ

Twitter: https://twitter.com/WarwickshirePGL

For Masonic enquiries:
This email address is being protected from spambots. You need JavaScript enabled to view it.
Tel: 0121 454 4422

The United Grand Lodge of England (UGLE) is the governing body for freemasons within England and Wales and districts overseas.