Moorish National Republic Federal Government North East Amexem Territories and Dominions

 ~ An Unincorporated Moorish Science Temple for America ~ 

The True and De Jure Natural Heirs and Inheritors to the Land
 ~ I. Self. Law. Am. Master. ~ 
Before you can order your Moorish American Nationality Identification Card with the Moorish American Consulate you must first ‘Declare and ‘Proclaim your Moorish Nationality.
This is what correcting your status entails. If you have not completed this status correction, please download the MAC Instructions along with the ‘Lawful Notice! Appellation
Declaration, Correction – Proclamation and Publication and Judicial Notice and Proclamation from www.MoorishAmericanConsulate.org/Services or the file section of the
Facebook Group: Moorish American Consulate NE Amexem.
For those who have already completed the Moorish Nationality status correction please send a PDF copy to MoorishAmericanConsulateNE@gmail.com at which time you will
receive a Moorish American Consulate record number. There is an 10 frns processing charge to have your MAC document sent back to you.

Moorish American Nationality Identification Card Order Information Sheet

Please provide the following information:
PLEASE SCRIPE LEGIBALY • PLEASE SCRIPE LEGIBALY • PLEASE SCRIBE LEGABILY

Please Make Card Selection: □ Nationality ID Card 35 FRNs □ Travel Card 35 FRNs □ Nationality ID and Travel Card 50 FRNs

Moorish Appellation: MAC Number Here:

Mailing Location: Cell / Home Phone:

City: State: [ZIP:]
DOB Height: Weight: Hair Color: Eye Color:
Email this information sheet to: MoorishAmericanConsulateNE@gmail.com

PLACE PHOTO HERE ↓ Autograph HERE [IN RED] BELOW ↓ Right Thumb Seal HERE [IN RED]
If you send the photo via email or text please let DO NOT LET THE AUTOGRAPH TOUCH THE LINES…… BELOW ↓ DO NOT LET THE PRINT TOUCH THE LINES……
us know…

Page 1 of 1 MACN-F002_Information Sheet - PLEASE SCRIBE LEGABILLY