League of the South Application for Membership

The League of the South
Post Office Box 37338
Jacksonville, Florida 32236
Tel.: (904) 388-2253
e-mail: NEFLOS@net-host.net
Web Page: http://coolchange.net/freedomfirst

MEMBERSHIP APPLICATION

NAME:___________________________________________________________________________________

ADDRESS:________________________________________________________________________________

_________________________________________________________________________________________

PHONE: ________________________ FAX:_________________________

E-MAIL: ______________________________________________________

SIGNATURE: __________________________________________________

By my signature above, I am agreeing to uphold the statement of purpose of The League of the South: "We seek to advance the cultural, social, economic, and political well-being and independence of the Southern people by all honorable means."

DATE: _________________________________________________

Annual benefits include a monthly email newsletter, invitations to all meetings, conferences, and seminars; and periodic mailings of organization literature.

Dues and contributions to The League of the South are not tax deductible. Please check the appropriate category: All levels of membership include $10 annual local chapter fees.

Level of Membership		Listing of Membership and Annual Dues Levels
	REGULAR	$50 per year
	FAMILY	$75 per year for husband and wife
	FAMILY	$100 per year for family with children 12-18
	STUDENT	$30 per year

Mail check or money order to: The League of the South, Post Office Box 37338, Jacksonville, Florida 32236.

Amount Enclosed: _____________________________

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