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LWK Application

The document appears to be an application for membership in the Loyal White Knights of the Ku Klux Klan. It requests personal information such as name, address, date of birth, gender, employment status, religious beliefs, criminal history, and reasons for wanting to join. It states the membership fees and declares allegiance to the Klan's goals if accepted.

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1K views

LWK Application

The document appears to be an application for membership in the Loyal White Knights of the Ku Klux Klan. It requests personal information such as name, address, date of birth, gender, employment status, religious beliefs, criminal history, and reasons for wanting to join. It states the membership fees and declares allegiance to the Klan's goals if accepted.

Uploaded by

api-361252068
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Loyal White Knights of the Ku Klux Klan

PO Box 54 Pelham, N.C. 27311


Klan Hotline (336) 432-0386
www.kkkknights.com

YOUR APPLICATION MUST BE MAILED IN BY YOU

Name__________________________________________________________________ DOB________/_________/_________

Address___________________________________________________________________________________________________________

City____________________________________________ State __________________ Zip Code_____________ Gender (Male/Female)

Have you ever been in a Klan before? (YES/NO) If YES which one and what year(s) ______________________________________________

Are you currently (Employed/Unemployed/Retired/Disabled/Other) Do you believe in Jesus Christ? ________________

Are you working with/for Law Enforcement/Government agency? If yes Explain ________________________________________________

Marital Status____________ Telephone Number ( )__________________________ Cell Phone ( ) _________________________

Email Address_____________________________________________ Military Experience? _________ Honorable/Dishonorable Discharge?

Do you have internet for Klan Klass? (YES/NO)

Have you ever been convicted of a felony (s) ____________ If yes what charges were you convicted of and when:
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

Do you have any charges pending or on probation/parole _____________ If yes please explain
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

Why do you wish to be a member of the Loyal White Knights? _______________________________________________________________

_________________________________________________________________________________________________________________

DECLARATION: I understand that I am applying for membership for the Loyal White Knights of the KKK. I am an American Citizen and am at
least 18 years of age. I have NO SEX OFFENDER CHARGES, I am a White male or female of Christian Faith. I believe in the Constitution and
Laws of the USA. I pledge my allegiance to the LWK, and swear upon acceptance to give 100% loyalty to this Klan and its goals. I also agree
to learn the original Klan ways and to respect all Klan Brothers and Sisters within this organization.

CITIZENSHIP REGISTRATION: $20.00 Non Refundable Citizenship Application Fee and $10.00 per monthly Dues. Your registration fee must
accompany the application along with a copy of your Current Valid Drivers License or State ID Card. Your Citizenship application will be
rejected if all of these requirements are not included. There is a contingent one year probationary period once your Citizenship applica-
tion is processed and your accepted by the Imperial Board. Money order/check payable to Amanda Barker PO Box 54 Pelham, N.C. 27311

DO NOT SEND CASH MONEY ORDER OR CHECK ONLY


Signature of Applicant Date:

DO NOT WRITE BELOW THIS LINE FOR IMPERIAL OFFICE USE ONLY
Kligrapp:__________________________________________ Date: _________/_________/_________ Realm: _____________________

Province No: _________________________ Klan No: ____________________ Klectokon Paid: ___________ Amount $______________

Comments: _____________________________________________________________________________________________________

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