National Order of Trench Rats

National Order of Trench Rats
Royal Colony
4129 KARMA DRIVE, NORTH LAS VEGAS, NV. 89032-5009
MEMBERSHIP APPLICATION
ELIGIBILITY REQUIREMENTS:
1. You MUST be a:
a. PAST SECTOR GOLDEN RODENT
b. PAST SECTOR RED-EYED GNAWER
c. HELD A HIGHER OFFICE in the National Order of Trench Rats
2. You must be a paid up Life Member of the D.A.V. and the N.O.T.R. when applying for membership.
3. Membership fees:
LIFE MEMBERSHIP
$25.00
(To order the Royal Colony Black Fez, order on line at WWW.NOTRHQ.COM .
For questions about the Royal Colony, contact ([email protected])
REQUIRED INFORMATION
NAME:________________________________________________________________________
(Print and spell as DESIRED on card)
Address: _______________________________________________________________________
City: ______________________________________ State: _________ Zip: __________________
Telephone # (_____) _______________________
Office Held: _____________________________________________ Year: ___________
(Sector G.R., Sector R.E.G., Ex. Rat, or Higher)
Member of Dugout # ________________________ Sector of ______________________________
D.A.V. Code # _______________________________________ N.O.T.R. # ___________________
NOTE:
Make checks payable to: N.O.T.R. Royal Colony
DTD 5-2012