APPLICATION

Name:____________________________________________ D.O.B.___________________Address_____________________ _______________________City______________________________________________________ State ______________________Zip code _________________Phone#__________________________Sex__________Marital Status ___________________Work Status___________________ Do you Believe in Jesus Christ?_______ Military Experience?______________________ Have you ever been convicted of a felony?  If yes explain. _________________________________________ Are you currently on probation or parole? _________________ Are you or have you worked for any law enforcement agencies?________________  Why do you wish to join the Trinity White Knights.?__________________________________________________________________________________________________________________DECLARATION: I understand that I am applying for membership into the Trinity White Knights of the Ku Klux Klan.  I am an American citizen of Christian faith of the age of 18 years old or older.  I have never been convicted of any Sex offense charges.  I am a White male/female, and I believe in the Constitution of the United States of America.  I will pledge my allegiance to the TWK and swear upon acceptance to give 100% loyalty to this Klan and its goals.  I also agree to learn the original Klan ways and to respect all Klan brothers and sisters within this organization.  "Citizenship registration fee is required $20.00 and $10.00 each month for dues.  Your registration fee must accompany this application.  Your application will be rejected if all these requirements are not included.  There is a 6-month contingent probation period once application has been approved by the Imperial Board.  Blank Postal Money Orders or Cash Only Send to T.W.KP.O. Box 33, Aberdeen, Ohio 55101

Signature;_______________________________________________________________________Date:_________________________DO NOT WRITE BELOW THIS LINE  Kligrapp:__________Date:____________Realm:_____________________Province:________________Klan#______________Klectoken Paid:____________Amount:_____________ Comments:_______________

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