BECOME A MEMBER SNPS BY-LAWS CODE OF CONDUCT SNPS Membership Application NAME * First Name Last Name DATE OF BIRTH MM DD YYYY PHONE * (###) ### #### EMAIL * ADDRESS Address 1 Address 2 City State/Province Zip/Postal Code Country SERVICES, SKILLS, INTERESTS CURRENT MEMBER REFERENCE * First Name Last Name CURRENT MEMBER REFERENCE EMAIL CURRENT MEMBER REFERENCE PHONE (###) ### #### BRIEFLY DESCRIBE YOUR REASON FOR JOINING THE SAINT NICHOLAS PATRIOTIC SOCIETY: * Thank you!