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Name (First, Middle, Last)
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Mailing Address (Street Address & Apartment #)
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Mailing Address (City, State, Zip Code)
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Daytime Telephone Number
Evening Telephone Number
Would you like your email address Email Address included in the GA LOS list server? _____Yes _____ No
Please list any talents, abilities, or areas of expertise which you would be willing to use as a member or officer in the local, state, or national chapter of The League of the South.
How did you hear about The League of the South? Please check all that apply.
_____ Radio advertisement _____ Printed advertisement in _____________________
_____ Member of the League _____ Internet Website at _________________________
_____ Southern heritage rally _____ Media article in ____________________________
_____ Other (please indicate) _____________________________________________________
Membership Options:
_____ $30 Student _____ $50 Individual _____ $75 Couple
_____ Family Membership $100 (for husband, wife, and children 12-18 years of age)
_____Southern Patriot $125 (or $200 for husband & wife)
_____Legion of the Southern Cross: Continuing pledge of $125 from year to year
_____SUSTAINING: $1,000 to $10,000 per year. After the first year, sustaining members may determine their own dues.
* Membership dues and contributions to The League of the South are not tax-deductible. If you are interested in making a larger, tax-deductible donation, please contact: Mr. David Rockett, Chairman of the Finance Committee, P.O. Box 2628, Monroe, LA 71207 (318-288-1149).
Please read and sign the following:
I understand that The League of the South is not a racist organisation and does not advocate violence (other than self-defence) nor the violent overthrow of the government of the united States nor of any of the individual States; furthermore, I understand that membership in any organisation which condones either of these afore-mentioned things will effectively cancel my membership in The League of the South.
In keeping with our Christian heritage of the South, I agree to abide by and support the purpose statement 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 honourable means.”
________________________________________________ ______________________Please send application to:
Georgia League of the South
P.O. Box 1263
McDonough, GA 30253
For more information, call toll-free: 1-877-480-7540