RACIAL NATIONALIST PARTY OF AMERICA
MEMBERSHIP APPLICATION
     I, (please print name)_____________________, do hereby apply for membership in the Racial Nationalist Party of America, hereinafter, referred to as the RNPA.
     I certify that I am a White American, 21 years of age or older, and that I am in basic agreement with the racial separatist views and objectives of the RNPA.
     I further certify that the information contained below is correct and true.
     I pledge, that should my membership be approved that I will work enthusiastically to ensure the political victory of the RNPA.
     I further pledge that I will work within the legal limits of the law, and will avoid any activities that could be used to embarrass or endanger the political existence of the RNPA.
     I swear, under penalty of perjury, that I am not a member, nor ever have been, of a law enforcement agency intent upon entrapment of RNPA members, or their affiliates.
     And lastly, I pledge that I will maintain my national dues of $15.00 per year (due every Jan. 1st).
     Enclosed is my one time application fee of $5.00 (nonrefundable), along with my first year's dues of $____.  First year's dues are calculated according to the date of application.  If you join in Jan/Feb/March/April, then your first year's dues are $15.00.  If you join in May/June/July/August, then your first year's dues are $10.00.  And if you join in Sept/Oct/Nov/Dec, then your first year's dues are $5.00.  Total enclosed: $____.  Important:The RNPA has pulled itself out of the Jew controlled banking industry.  Do not send checks, traveler checks or bank originated money orders.  Send cash only at your own risk.  Instead, send postal money orders made payable to:  Karl Hand, RNPA Party Chairman, P.O. Box 1281, Lockport, NY  14095. Inmates may send unused US stamps.
     I understand that if I become a member of a local unit that I may be required to pay local dues as well, depending upon what the local unit agrees upon.  These are payable at local meetings.
     In return for my membership support to the RNPA, I will be given a complimentary subscription to 'White Voice', along with a membership card.
                    Signature___________________________
                    Date________________
Please Print:
Name____________________________________
Address__________________________________
City___________________State_____Zip______
Phone (____)__________________
Check here if you wish to be contacted by a local unit ___
OFFICE USE ONLY
Membership number:  ____/____/____
Referred by:_____________________
Investigated by:___________________
Approved by:_____________________
Rejected by:_____________________
Comments:_________________________________________