Email

Tribal Membership Name (old):

Text AreaTribal Membership Name (new):

New / Updated Address:

Mailing ONLY

New / Updated Phone #:

Tribal Membership Enrollment Number:

Notes:

NAME CHANGES- Please provide proof of any/all name changes by submitting court order, birth certificates, drivers. license, copy of social security card. MINORS/GUARDIANSHIP(S)/COURT AWARDED- Please provide proof of any/all name changes/Guardianship(s) by submitting court order(s). Please email all information to ystenrollment@yahoo.com