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American Nazi Party — Part 1
Page 5
5 / 60
IN THE ©
AMERICAN NAZI PARTY
NAME,
DATEs-—__--»--»--_» APPLICATION NUMBER. =
AGE
PASTE
PHOTO
HERE
PASTE
PHOTO
HERE
PROFILE
FRONT VIEW
LAD
.*
~ DO NOT WRITE IN SPACE BELOW
SOURCE____
FIRST CONTACT DATE
ACCEPTED DATE_____
PROBATION DATE
TERMINATED
SWORN IN
REASON.
nan ncE ETT ETEES EEE nna EEE
i
Cover Of 9-Page Application For Membership In ANP
b4
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