FEES (I.D. only):
Adult (ages 18-60 years old) $10.00
Elderly (60+ years old) $5.00
Minors (0-18 years old) $5.00
**Please bring correct amount of cash and/or check/Postal Money. Order in the correct amount(s).

Checkbox

Tribal Membership I.D.

C.D.I.B

Tribal Membership Name:

I am, formally requesting my Tribal Membership Identification Card and/or Certificate of Degree of Indian Blood.

First Name

Last Name

ADDRESS:

Phone Number:

Membership Enrollment Number:

Note:

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