Imperial Klans of America
Knights of the Ku Klux Klan

International Application
Please print these out and snail mail to the address below...

                   

Please verify and check all of the following.  All information is kept extremely confidential.

 

I do swear and verify that I am of the White race.

I am not addicted to or a user of illegal drugs.

I am not or have never been a follower of the Jewish religion. 

I am against all forms of homosexual and lesbian philosophies.

I believe in the segregation of the races and I have never engaged in an inter-racial relationship.

I believe in and will defend my Country, Homeland, and its Constitution and laws.

I am not under bond or indictment for any criminal acts.

I will conduct myself in an acceptable manner and WILL NOT commit criminal acts while a member of The IKA of the Ku Klux Klan. 

I will study the member handbook and uphold the IKA's traditional early American teachings.

I will not expose any other member's identity as being a Klansmen unless he/she gives permission.

 

PLEASE SPECIFY IF YOU WANT TO BE AN ACTIVE OR INACTIVE MEMBER.

As an active member I will endeavor to attend monthly meetings and pay the monthly dues of $10.

As an inactive member I will pay dues and keep up to date with issues concerning our movement.

I will pay the $35.00 annual membership dues.

 

REQUIRED INFORMATION (Please provide all info UNLESS YOU DO A PERSONAL INTERVIEW)

Please type N/A instead of leaving fields blank.

 

First and Last Name:    

Social Security or ID#:  

Marital status:               

Date of Birth:                      Sex:                       

Occupation:                    

 

Address:             

City:                     State:

Zipcode:               Country:

Tel. Number:      

Email Address:   

 

Place of Employment:

* optional

National Descent:

Military Experience:

 

Name and Descent of Spouse:

 

Physical Condition (please list any disabilities):

 

Height: Weight:

Hair Color:Eye color:

 

Special Skills:                                         

 

List any Awards, Medals & Titles you recieved:

Are you registered to Vote?  

Previous Political Activity:                    


Main type of Transportation?  

Do you use a ?


Have you ever been Convicted of a Felony?

If yes give details

Any Legal Charges pending against you now 

If yes give details

 

Family Situation:

*optional

 

Any other talents do you think can be useful to the Klan?

 

Organizations you belong to


Why do you want to become a member of the Klan? 

 

Do you now work for or have you ever worked for any Law Enforcment Agency?

Will you consent to a Polygraph test?

Have you Previously applied to the Klan? if so explain & give dates

List (3) Personal Refrences, Not including Immediate Family Members. 

Please give Names, Addresses, and Phone Numbers(application will remain discreet) 

 

Do you Know anyone interested in Joining?

 

How did you hear about us?



 I do swear and verify that all the above information is true and correct.

If you have an online photograph, please specify the link:  or email it to HQ as an attachment.

Or send it through regular mail to 

IKA
P.O. BOX 177
Dawson Springs , KY 42408 USA

Next step is pay online $40.00 in the US and $45.00 out side the US
Please make Postal Money Order only or send your Check made out to:
Ron Edwards... We are having a hard time cashing them at our Banks.


Please sign your name


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