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Membership Application

print, fill out & mail with $10 to:

Native American Indian
Association of Tennessee, Inc.

230 Spence Lane
Nashville TN 37210-3623
615. 232.9179


Native American ______

Associate Member ______

New _____________________
Renew ___________________
No. _____________________

Name ____________________________________________
Home Phone __________________ Business Phone __________________
Address __________________ City __________________ Zip __________________

If applicable: Tribe _______________________________________
Location ___________________ Blood Quantum ___________________

Family Data:
If applicable: Tribe _______________________________________
Location ___________________ Blood Quantum ___________________

Children: Name and Age

  1. ________________________________________ ____
  2. ________________________________________ ____
  3. ________________________________________ ____
  4. ________________________________________ ____


Purpose of the Corporation:

The Native American Indian Association of Tennessee is a service organization that believes in seIf-determination and was formed on October 7, 1983 with a Commitment to helping people (Indian, Native American).

  1. To raise the level of consciousness of the non-Indian population in the State of Tennessee to a fuller awareness of the past history and current status of Native American Indians by sponsoring, promoting and conducting seminars, institutes, education programs and public information activities.

  2. To sponsor, promote and conduct programs to research on subjects related to American Indians.

  3. To sponsor, promote and provide social services and other forms of assistance to American Indians who are in need thereof.

  4. To locate public and private agencies which can provide health, education, welfare, employment and other services to American Indian people in the State of Tennessee. And to advise and assist Indian people in obtaining and utilizing such services.

  5. To assist American Indians and persons of Indian descent in learning of and obtaining the benefits of those programs services, rights and privileges to which they and their Indian tribes are or may be entitled under the laws and treaties of the United States of America.

I understand the purpose and goals of the Native American Indian Association of Tennessee.

Signature __________________ Date _______________________
Membership Committee __________________
President __________________

+ $10 Membership fee

Office Use:
amt paid ______ yr.
_____ yr _____ yr.
NAIA 1/94 /RE


Family Genealogy

_________________
Applicant

_________________
Indian Blood Line
Tribe & Degree

_________________
Father

_________________
Indian Blood Line
Tribe & Degree


_________________
Mother

_________________
Indian Blood Line
Tribe & Degree

_________________
Grandfather

_________________
Indian Blood Line
Tribe & Degree


_________________
Grandmother

_________________
Indian Blood Line
Tribe & Degree





_________________
Grandfather

_________________
Indian Blood Line
Tribe & Degree


_________________
Grandmother

_________________
Indian Blood Line
Tribe & Degree

_________________
GreatGrandfather

_________________
Indian Blood Line
Tribe & Degree


_________________
GreatGrandmother

_________________
Indian Blood Line
Tribe & Degree





_________________
GreatGrandfather

_________________
Indian Blood Line
Tribe & Degree


_________________
GreatGrandmother

_________________
Indian Blood Line
Tribe & Degree





_________________
GreatGrandfather

_________________
Indian Blood Line
Tribe & Degree


_________________
GreatGrandmother

_________________
Indian Blood Line
Tribe & Degree





_________________
GreatGrandfather

_________________
Indian Blood Line
Tribe & Degree


_________________
GreatGrandmother

_________________
Indian Blood Line
Tribe & Degree






Native American Indian Association of Tennessee, Inc.
230 Spence Lane, Nashville TN 37210-3623
615. 232.9179

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