Membership Application

ID Entry

*Required
Date of Birth*

MonthDayYear
Government Photo ID Number*
Issuing Authority*
Type of ID*
Please include a front and back digital photo or scan of the above listed ID with this application
ID Photo Upload - Front*

Please upload image in .JPG file format
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ID Photo Upload - Back*

Please upload image in .JPG file format
Cancelof

Background Information

*Required
Are you a current League Member(formerly LOTS 2024)?*

YesNo, I am renewing my lapsed (formerly LOTS) membershipNo, I am a new member
What was the Date of your last membership renewal(2024)?*

MonthDayYear
Selection must be within the 2024 year-to-date
What is the level of your current Membership level?*
Have you been referred by an existing or current League member?*

YesNoOther
Please enter the existing or current League member's name*

First NameLast Name
Professional background*

0/250
Number of total years as a working professional*
What state do you currently reside in?*
Number of total years in the current state of residence*
Please describe what you expect to gain from being a member of The Southern Nationalist League*

0/250
Please describe what skills and talents you can bring to The Southern Nationalist League*

0/250

Membership Selection

*Required
Indicate your paid Membership Subscription Level

Please select one. Check the membership level below that you will be paying for online. If updating a current LOTS Membership, please select the Membership level closest to your current level. Please note that our Membership levels have changed and pricing has been updated. Thank you.
Select your paid Membership Subscription Plan

Individual Annual Membership - $60 - 18 or olderSpousal Annual Membership - $85 - Husband & WifeFamily Annual Membership - $110 - Child ages up to 17Southern Patriot Individual Annual Membership - $125Southern Patriot Family Annual Membership - $200 - Child ages up to 17
Please select how many children ages 12-17 for a Family Membership and include their names
Child Name - 01

First NameLast Name
Child Name - 02

First NameLast Name
Child Name - 03

First NameLast Name
Child Name - 04

First NameLast Name
Spouses Legal Name

First NameLast Name

Statement of Purpose Agreement

*Required
“We seek to advance to cultural, social, economic and political well-being and independence of the Southern people, by all honorable means.”

Please read and agree to uphold the Statement of Purpose of The Southern Nationalist League, Inc.
Signature*

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Use touch/finger or cursor to scribe your signature
Are you Paying by Check?

YesNo
Check Payments (mail-in) payable to: The Southern Nationalist League, Inc.

Acceptable forms of payment include - Personal Checks, Money Orders, Cashiers Check
I will mail-in acceptable payment in the amount for*
Enter Amount of payment to be mailed in USD:*
Mail to: The Southern Nationalist League

P.O. Box 730 Killen, Alabama 35645
All Membership Submissions are Subject to Review and Acceptance

Upon successful receipt of payment and acceptance into The Southern National League, you will receive an email with further membership information. Payment must be received within 10 business days of submitting this Membership Form or application will be removed.
Audit Email
example@example.com
Should be Empty:

ID Entry