National Socialist Movement



Name _______________________________________________________________________


Address _____________________________________________________________________


City _________________________________ State ________    Zip Code _________________


Country (if other than U.S.) ______________________________________________________


Telephone Number (_______) ____________ - ___________


E-Mail Address _______________________________________________________________


Are you now or have you ever been a member of the NSM?      o Yes     o No    





o LIFETIME Member (USA) $600.00             

o LIFETIME Member (INTERNATIONAL) $800.00    





  1. Lifetime Memberships are nonrefundable.
  2. Lifetime Memberships are non-transferable. However, if the member passes away prior to having the Lifetime Membership for at least 20 years, the Lifetime membership can be transferred to a *family member for the remaining time up to 20 years total.
  3. Lifetime Memberships carry all benefits, discounts and privileges of a Party membership in effect at the time of joining, or in the future if new Party benefits are added.
  4. Lifetime membership cannot be downgraded for regular Party memberships.


*Family member is immediate family; wife, son, or daughter.




To Submit Form: Complete and return with payment. Check or Money Order must be made payable in US dollars drawn on a US Bank. Make check or money order payable to NATIONAL SOCIALIST MOVEMENT. Returned checks will be electronically re-deposited along with a return fee of $30.00, plus an additional $16 fee to cover NSF check charges to NSM. (or as allowed by state law).


To pay by credit card complete below:


Credit Card:  o Visa    o Master card    o Discover    


Card # __________________________________________________________________________


Expiration Date _____________ /______________   


CVC Code ___________ (this is the extra 3 digit security number on the back of your card on the signature line)


Signature ________________________________________________________


I authorize the NSM to complete two payments of $300.00 on the below listed dates to complete my Lifetime Membership request.


Date: Day/Month/Year__________________________Day/Month/Year____________________ 


Send completed membership form, check or money order / credit card payment to:


Lifetime Membership

National Socialist Movement

P.O.Box 13768

Detroit, MI. 48213 


By completing this Lifetime membership application, I certify that I am seeking to become an active (paid) Lifetime Member of NSM and that I agree to abide by the principles of the National Socialist Movement. I understand the membership is based on the criteria in effect for Lifetime memberships as detailed on this application.