Join the Cause!

Back to homepage

League of the South

Membership Form

 

_______________________________________________________________________                  
Name (Last, First, Middle)
 
_______________________________________________________________________
Mailing Address
 
_______________________________________________________________________
City, State, Zip
 
_______________________________________________________________________
E-mail Address
 
_______________________________________________________________________
Daytime Phone Number      
 
 _______________________________________________________________________
Evening Phone Number
 
 
How did you hear about the League of the South? Please check all that apply.
 
________ Radio Advertisement        Printed Advertisement in:  ______________________________
________ League Member               Website Advertisement at:  ______________________________
________ Rally                                  Media Article in: _________________________________________
________ Other (please indicate): _____________________________________________________________
 
 

 Membership Options:

________ $30 Student          ________ $50 Individual          ________ $75 Couple
________ $100 Family (husband, wife and children ages 12 – 18 years of age)
________ $125 Southern Patriot          ________ $200 Southern Patriot Couple
________ $125 ANNUAL Continual Pledge; Legion of the Southern Cross
________ $1000+ Sustaining; After the first year, Sustaining members determine their own dues
 
 

**MEMBERSHIP FEES/DONATIONS PAID TO THE LEAGUE OF THE SOUTH ARE NOT TAX DEDUCTIBLE**

 

______________________________________________________________          _____________________________________
Signature                                                                                                    Date Signed
 
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.
 
 
 
 
Please send application to:
League of the South
P.O. Box 760
Killen, Alabama 35645

 

 

Write a Comment

Only registered users can comment.