Official Supporter Application Print and send application to: American Nazi Party • PO Box 85942 • Westland, MI 48185 Choice of monthly dues level: The applicant should indicate their dues level in the space below, choosing a whole-dollar amount ($10 min.) as high as their means permit. A member may elect to pay their dues each month or as many months in advance as they wish (e.g., on a quarterly basis). Monthly Donation Amount:__________________________________ Please tell us about any particular skills, talents, or personal situations you have that might be of benefit to our organization: __________________________________________________________ __________________________________________________________ Name:_____________________________________________________ Street:___________________________________________________ City:___________________State:____________Zip:____________ Telephone:________________________________________________ E-mail (Optional):________________________________________ I, the undersigned wish to become an Official Supporter of the American Nazi Party. I am a White-Aryan male or female of non-jewish decent or ideals and am in basic agreement with the aims of the American Nazi Party. Signature/Date:___________________________________________