National Order of Trench Rats

MEMBERSHIP TRANSFER
DATE:  ____________________
MEMBER'S LIFE MEMBER NUMBER ____________________

MEMBER NAME:  _____________________________________________________________________________

ADDRESS:  _________________________________________________________________________________

CITY : __________________________________________STATE:_____________  ZIP_____________________

FROM DUGOUT _________________________  TO DUGOUT __________________________



MEMBER'S SIGNATURE _______________________________________________________________________



SIGNATURE OF RECEIVING DUGOUT'S R.E.G._____________________________________________________

After brother has been accepted by the new Dugout, send this form to Imperial Headquarters at:

Mail to the appropirate Receiving Dugout or myself (Imperial Executive Rat) at:

N.O.T.R
P.O.Box 1385
Seaside, CA 93955