Urban Indian Tribal Organization (U.I.T.O.) is an organization with many different tribal affiliations. Our founder, Les Miller is a member of the Kiowa Tribe of Oklanoma. There are many more of us active and involved in the organization because we believe in its purpose.

MEMBERSHIP FORM

NATIVE AMERICANS & NON-NATIVES ARE ELIGIBLE FOR MEMBERSHIP

NAME__________________________________________________________________

ADDRESS______________________________________________________________

CITY____________________________STATE_______ZIPCODE_________________

TELEPHONE__________________________

E-MAIL ADDRESS_______________________________________________________

PLEASE CHECK CATEGORY OF MEMBERSHIP REQUIRED

_____SINGLE MEMBERSHIP-------------------------$10

_____FAMILY MEMBERSHIP------------------------$15

_____FRIEND OF NATIVE AMERICANS-----------$25

_____SUPPORTER OF NATIVE AMERICANS-----$50

_____SPONSOR OF NATIVE AMERICANS-------$100

IF YOU ARE NATIVE AMERICAN, PLEASE INDICATE YOUR TRIBAL AFFILIATION:_________________________________________________________

CHECKS FOR THE APPROPRIATE AMOUNT SHOULD BE MADE TO U.I.T.O.

U.I.T.O. IS A 501C 3 NON-PROFIT ORGANIZATION---DONATIONS ARE TAX DEDUCTIBLE

Urban Indian Tribal Organization

1016 West Fifth Street

Davenport, IA 52802

563.322.3751 ext.#38

563.336.4734 Fax

uitorg1998@yahoo.com