Application For Membership
(Type or Print Clearly in Black ink)
I, the undersigned, respectfully petition to become a member of the
Hard Core Confederates
Major Gen. Robert Bullock, Camp 301, Florida
And if accepted, do hereby promise to comply with all organizational rules and bylaws.
Clearly Print Full Name
Legal Signature
Address                                              City                                 State                       Zip
Date of Birth                                     State of Birth                                         Occupation
Home Phone                                        Cell Phone                                 E-Mail
Recommended By
( Initial Dues are $150.00 which include the Annual dues of $50.00).

Administration  Report
Date Application received
Date Approved
This application has been examined and according to Organizational guidelines the petitioner is approved for membership.

______________________________                                                     __________________________
Founder                                                                                                  Committee Chairman