FALKVILLE, AL 35622 ECHOTA CHEROKEE TRIBE OF

ECHOTA CHEROKEE TRIBE OF ALABAMA

REQUEST FOR NEW ROLL CARD

If you lose your roll card, change your name, or just want an updated card you can request a replacement roll card. The fee for replacing the roll card is $5.00. PRINT AND FILL OUT THIS FORM, THEN MAIL THE FORM ALONG WITH THE FEE AND A.SELF-ADDRESSED STAMPED #10 ENVELOPE TO: ECHOTA CHEROKEE TRIBE OF ALABAMA P.O. BOX 479 FALKVILLE, AL 35622

First Name, Middle Initial, Last Name (or your name the way you want to see it on your card) _________________________________________________ Address: ____________________________________________ City, State, Zip: _________________________________________________ Phone Number: __________________________________________________ Email: ___________________________________________

Roll number if known: _______________

If you do not know your roll number, check the following reason: _____ I registered as a child with my parent(s). If so, give the name of your parent(s):____________________________________ If you are still registered as a minor, you will have to re-register as an adult and you will need to request a new application as well. _____ I registered as an adult but under another name. If so, give the name you were registered under: ___________________________

For further assistance you may call the office at 256-734-7337.

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