Name:

Address:

City:

State:

Zip:

Telephone Numbers:

Home:

Work:

Mobile:

Fax:

E-mail Address:

Employer:

Occupation:

Address:

City:

State:

Zip:

Hobbies / Interests:

Member agrees to be on at least one of the following Krewe Committees:

Fundraising

Ball

Publicity

Must Select at

Special Events

Coronation

Cochon de Lait

Float

Royalty

Children's Float

Membership

least one please

The membership dues for the Krewe des Ambassadeurs are $150.00 per person and are due in two installments. First half ($75.00) is due by the first of April with the final amount ($75.00) due no later than the first of August of each year. Your dues include entrance to the Cochon de Lait, the Captains Party, the Grand Bal and an opportunity to ride the Float. Please attach your membership dues to this application.

Krewe des Ambassadeurs P.O. Box 2 Minden, LA,  71058

Applicant's Signature:  _______________________________

Date: ________

Krewe Sponsor: _____________________________________

Date: ________

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