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-----------------------------------------Application Form-----------------------------------------

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First Name:___________________Last Name_____________________

Address _______________________________

City ___________State _____ Zip Code _____________

Email address ____________________

Date of Birth _________________

Home Phone ___________________

Work Phone ___________________

Tribal Affiliation or Tribe: ________________

M/F ___________________

Faith ________________

Do you want us to help you search? ___________

Tell us about yourself:

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Tell us about your ancestors

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Are you registered with any tribes?

Because we process all of the information, papers, ID Cards, certificate and other processing we cannot offer a refund for membership. Do you agree to this?_________

If there is a problem we will rectify it.

Please fax this application back to 206-339-4673
Please fax your CC info along with the total amount to be charged.

Total amount is $_______


Credit Card Number: ________ | ___________ | __________ | ___________

Exp Date _____ | ______

CVV Numbers on back _ _ _

[The 3 #'s on the right on the back of the card]


I agree to the terms above for Tribal membership to Binay.


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Signature of Authorized applicant.


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Signature of Authorized witness


Relationship to applicant?

_____________________

Tribal Office Info:

Monroe Enterprises
[Binay Membership]
74 Horst Ave
Suit B
Chambersburg, PA 17201
717-496-8527 [Tribal Office]
206-339-4673 [Fax Number]

If you are already a member, Please let us know if you have not received your membership packet. Please include the payment # you received when you made a payment.Thank you.
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Previous Members Only
You may also mail in your membership to:
Monroe Enterprises
C/O The Binay Tribe
PO Box 143
Upperstrasburg, PA 17265
NOW ACCEPTING APPLICANTS FOR A LIMITED TIME ONLY JAN 20TH 2007 ROLLS CLOSE
We no longer have monthly dues or fees. Our membership is now a one time full membership to the tribe. The Application is now only $100.00 for full membership.

Please use our online payment form. Or you can send it it by mail. Please note that all personal checks or money orders will take 5 to 10 business working days before any membership will be sent.

You must E-mail or mail in a Clear Color Photo of your face. It must be Passport type. If it isn't then it will delay your membership.

Please be sure not to have on shades or hats or scarf on your head. There are no exceptions.

Once all information has been received we will process your application and prepare your membership packet and it will be sent.

You will receive the following items:

A Tribal ID Card = Must be respected and used according to the documents sent along with your membership packet.

A Certificate of Membership

An official welcome letter

And instructions and links to our online chats, files and research materials. Along with meeting dates and chat schedules.

If you have any questions please let us know at blackindianz@aol.com

Welcome to the Tribe.
The Binay Tribe
BlackIndians.com
Or mail your donation payment to:

Monroe Enterprises
[Binay Membership]
74 Horst Ave.
Suit B
Chambersburg, PA 17201

Please note you may also pay by phone.
[717-496-8527 [You can also pay by phone] There is an extra $5.00 CC Fee to pay by phone.
New membership Information.
You can also fax your membership application to the following:
We have Two types of membership. FREE and FULL TRIBAL MEMBERSHIP. Please chose one.

FREE = Your name will be put on tribal rolls with us.

FULL MEMBERSHIP = Your name will be put on our tribal rolls, you will receive a Binay Tribal ID card, Official Certificate, Your photo placed on the site along with other full members, And voting privlages and more.
To all official tribal members: All tribal cards MUST BE FROM US. And your Bar Code must be matched with our database. If you are caught copying your card and something doesnt match you will be procicuted to the fullest extent of the law. Your card must not be missuded or misstreated and you must respect your tribal ID at all times.
There is a $25.00 Fee if you need to replace your Tribal ID card.

If you have a family that wishes to join the tribe there is a $5.00 discount per family member.

Please follow all proceedures to enroll them.

If you have any questions please call the tribal office at 717-496-8527.

Please use the order link below to order a new Tribal Card.