I the undersigned, a native born or fully naturalized American citizen, being a White man

or woman of the Christian Faith, sound in mind and a believer in White separatism.

A believer in the Constitution and the laws of the United States of America pledge my allegiance

to the American Knights of the Ku Klux Klan. I swear on my honor that if accepted I will build

membership in this order and keep to myself the membership of any Klansman or Klanswoman

and their families. I will not slander, nor will I defraud or will I deceive in any manner or wrong any

 Klansman or Klanswoman or his or her family. If I see or hear of a Klansperson in trouble I will

come to their aid.

Name:_____________________________Age:______S.S#___________________

Address:___________________________________________________________

City:____________________________State:_______________Zip:____________

Phone:_________________________________D.O.B_______________________

Gender:_______________________Marital Status:_________________________

Are you a member of a secret order?______________________________________

Do you believe in Jesus Christ?__________________________________________

Do you believe all man are created equal?___________________________________

Have you ever worked for any branch of Government?__________________________

Why do you want to become a member of the American Knights? _________________

of the Ku Klux Klan?___________________________________________________

___________________________________________________________

( A $20 donation and a picture ID Must accompany this application, we
reserve the right to deny membership for any reason, any false statements
made on this application will result in immediate termination!!!!!!!!!!!!!! )