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Membership in the:
Confederate States Allied-Europe



Date:...................................................

Name:..............................................................................
Age:..................

Male ( ) or Female ( )

Address:...........................................................................
...................................................................................

Country:.........................................
CSA.( ) or USA.( ) EURO.( ) UK. ( )

What form of donation do you wish to make? Yes..( )..or..No..( ).
Cash..( )...Check/Cheque..( ).

Checks/Cheques in USA$ made out to:
Michael S Bennett.

Dollars..( )..or Pounds Sterling..( ).
Pounds Sterling for British & European use.

Do you wish to donate an item of some sort?
Flag..( )...Information..( )..Or other..( )
please specify......................................................................
....................................................................................

Membership:

European...Full..( )..European Commander...( )...British...Full..( ).

Rest of the world:...Honourary..( )
Associate...( )...American National..( )
American National Member of Dixie..( ).
(The above is the highest grade of member that has to be earned)

Non-member status:..Friends..( ).
Honoured Friends..( ).

E-Mail address:......................................................................

Signed:.........................


Print this page off, fill out, and copy. Keep copy for your files.

Return forms to Cmdr. in Chief British Command.

Confederate States Allied Europe
Anthony Jones.British Commander.
21 Barbridge Road,Hestersway Estate
Cheltenham, Gloucestershire,
England. UK. GL51-0BS.


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