WICOCOMICO INDIAN NATION
SIERRA VISTA, ARIZONA
85635

APPLICATION

I hereby request membership in the Wicocomico Indian nation, based on lineage from the Wicocomico Indians or William Taptico. Other family names are acceptable if proof is available.

Attach a copy of your lineage with your application.The family tree chart is acceptable. The chart must be typed or completed with a word processor.

The applicant must enclose an annual membership fee of $32 for five months or $160 for lifetime membership.

By accepting membership in the Wicocomico Indian Nation, I agree and understand that all research material conducted by and for the Wicocomico Indian Nation is the sole ownership of the Wicocomico Indian Nation Inc. and is copyrighted in accordance with existing federal laws. I also understand being a member of the Indian Nation does not give me ownership or benefits in the Wicocomico Indian Nation Inc.

After acceptance, the applicant will be placed on the Tribal Membership Rolls. If the applicant is not accepted based on incorrect lineage, their membership fees will be returned.

I_____________________confirm the enclosed information is true and correct to the best of my knowledge.

Signature:______________________________Date:___________________

Address:___________________________________________________________________________________

Telephone:_______________________________Email:____________________________________________


FOR TRIBAL GOVERNMENT USE


COMMENTS

APPROVED______________________________

DISAPPROVED___________________________

WEROANCE______________________________

DATE___________________________________


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