(Please fill out and
print,one application per person)
Mail to : Tribu Taina del Turabo
Clan del Manati
45552 Clearview Terrace
Sterling, VA 20164
Include Money Order for $25.00 for the yearly member fee
Last Name:
First Name:
Taino Name:
Address:
Apt.#
City:
State :
Zip Code:
-
Phone:
-
-
DOB:
/
/
Fax / Phone:
-
-
Email:
@
Name & phone of nearest relative:
Last Name:
First Name:
Address:
Apt.#
City:
State :
Zip Code:
-
Phone:
-
-
Brief history of your families heritage :
Your present occupation or skills :
Will you accept a position if offered you by the Aymaco council?
Signature_______________________________ date___________
THE FOLLOWING TO BE FILLED OUT AUTHORIZED
PERSONNEL ONLY MEMBERSHIP STATUS: Check one
DATIAO GUAITIAO NATIAO
GUAITIAO = NON TAINO MEMBER (NATIVE AMERICAN FROM ANOTHER TRIBE)
DATIAO = NON TAINO MEMBER (NOT NATIVE AMERICAN)
NATIAO = TAINO MEMBER (TAINO BLOOD RELATIVE FROM BORIKEN OR OTHER LOCATIONS)
