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| To Contact via US Postal Service: The Noble Order of Valour c/o Russell G. Giampietro II 499 Jefferson Ave. Sparta, TN 38583 |
| DISCLAIMER |
| YOUR INFORMATION IS SAFE WITH US. |
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| Full Name: |
| Address (Including the County or Parish where you reside): |
| Membership Form |
| Do you live in the County or Parrish Seat? |
| Age: |
| Gender: |
| Marital Status: |
| Spouse or Partner's Full Name & Age: |
| Telephone: |
| Email: |
| Please list a short resume (CV) of achievements, good works, and awards you may have earned. Also tell us about yourself in a short biography. Please use another sheet of paper if neccessary or include it in the body of your email. |
| The information provided in this form is for the sole use of The Noble Order of Valour for the purposes of determining rank and office of perspective members and their spouses/life partners within the Order. This information will not be used in any other way, by Order of HSH Princess Laurie Ann Giampietro, Grand Head Chancellor of the Noble Order of Valour, on this the Twenty-fourth Day of August, in the Year of Our Lord, Two thousand and Five |
