Brothertown Member Access

The information being requested will be used by the Enrollment Committee to confirm your status as an enrolled member of the Brothertown Indian Nation. 

Personal information provided to the Brothertown Indian Nation is used and shared only at the direction and under the approval of the Tribal Council.  Personal information is not shared with third parties except as required for federal recognition restoration purposes or as required by law.  

If you are unable to provide this information, but are confident that you are an enrolled Brothertown member, please contact the Enrollment Committee.

* = required field

First Name*
 
Last Name*
 
Enrollment Number*
 
Address*
 
City*
 
State*
 
Zip Code*
 
Phone Number*
 
Email
 
Enrollment Ancestor*