Name (First, Middle, Last) *

Mailing Address *

Address Line 2

City *  State *  Zip *

Daytime Phone *  Evening Phone *

Email  *

Please list any talents, abilities, or areas of expertise which you would be willing to use as a member or officer in the local, state, or national chapter of The League of the South:

How did you hear about The League of the South? Please check all that apply *:

Radio advertisement        Printed advertisement  Where?

Member of the League      Internet Website at:

Southern heritage rally  Media article in:

Other (please indicate) 

Membership Options * :

$30 Student   $50 Individual  $75  Couple

Family Membership $100 (for husband, wife, and children 12-18 years of age)

Southern Patriot $125 (or $200 for husband & wife)

Legion of the Southern Cross: Continuing pledge of $125 from year to year

SUSTAINING: $1,000 to $10,000 per year. After the first year, sustaining members may determine their own dues.

* Membership dues and contributions to The League of the South are not tax-deductible. If you are interested in making a larger, tax-deductible donation, please contact: Mr. David Rockett, Chairman of the Finance Committee, P.O. Box 2628, Monroe, LA 71207 (318-288-1149).

Please read and sign the following:

I understand that The League of the South is not a racist organisation and does not advocate violence (other than self-defence) nor the violent overthrow of the government of the united States nor of any of the individual States; furthermore, I understand that membership in any organisation which condones either of these afore-mentioned things will effectively cancel my membership in The League of the South.

In keeping with our Christian heritage of the South, I agree to abide by and support the purpose statement of The League of the South:

“We seek to advance the cultural, social, economic, and political well-being and independence of the Southern people by all honourable means.”

Yes: I understand and agree to the statement above. *