Descendants Of Freedmen Of The Five Civilized Tribes
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Descendants of Freedmen of the Five Civilized Tribes Association
BOX 42221 Oklahoma City, OK 73123
Membership Application:
Please Check One
Applicant_________(Must prove linage to the 1898-1914 Dawes Freedmen Rolls)
Spouse of a Freedmen Descendant ____(Must prove spouse’s linage to the 1898-1914 Dawes Freedmen Rolls and provide copy of marriage certificate)
Membership Annual Dues ($30) ____________Lifetime_____________ $300(Enclosed)
Supporter_________ $30. (no documents required supporter card will be issued to all donations equal to or greater than the annual dues of members)
(check or money order only)
Applicant’s Name (Please Print)________________________________________________________
Address__________________________________________________________
________________________________________________________________
Phone# ___________________________Email Address__________________
Signature__________________________________________
THE DAWES COMMISSION ROLLS, WHICH WILL BE USED FOR VERIFICATION WAS COMPILED DURING 1898-1914. ANYONE WHO DIED PRIOR TO 1899 OR WAS BORN AFTER ARCH 4, 1906 DOES NOT HAVE A ROLL NUMBER, HOWEVER IF YOU CAN PROVIDE THE CENSUS CARD THAT SHOWS THE ANCESTOR YOUR APPLICATION WILL BE CONSIDERED FOR VOTING RIGHTS MEMBERSHIP.
YOUR ANCESTOR’S FREEDMEN ROLL NUMBER AND NAME
______________________________________________________________________
Form FA 300702A
NEXT GENERATION (MUST PROVIDE BIRTH OR DEATH CERTIFICATION)
______________________________________________________________________
NEXT GENERATION (MUST PROVIDE BIRTH OR DEATH CERTIFICATION)
______________________________________________________________________
NEXT GENERATION (MUST PROVIDE BIRTH OR DEATH CERTIFICATION)
______________________________________________________________________
YOU and/ or Spouse
_____________________________________________________________________
ALL SUPPORTING DOCUMENTS AND DUES MUST ACCOMPANY APPLICATIONS, INCOMPLETE APPLICATIONS WILL BE RETURNED. COPIES OF BIRTH, DEATH and MARRIAGE CERTIFICATES ARE SUBJECT TO YOUR STATES VERIFICATION
Received Date________________________________________
Processed by_________________________________________
Approved ____________________________________________
Carded Issued________________________________________
Returned incomplete application date______________________
Form FA 300702B