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Membership Application

Southern Heritage Defense Application For Membership

Name (First) _______________________

(Last) _______________________

Signature _______________________

Address _______________________

City _______________________

State _______________________

Zip Code _______________________

Date of Birth _____________________

Occupation _____________________

Home Phone _____________________

E-mail ____________________

Downloaded from the War of Northern Aggression Website

After Printing out membership form and filling it out mail it to:

Southern Heritage Defense
10690 Longfellow Trace
Shreveport, La

( With the $10.00 membership fees)

Back to the SHD Main Page