MEMBERSHIP CERTIFICATE
Name of surety: ___________________________________________
Certificate number: ________________________________________
We, ______________________, surety for the group designated hereunder _____________________ under group guarantee bond No. ______________________________ issued on __________ day of ______________________________ 20__________, certify that ______________________________ is a member of the group and is covered by the group guarantee bond.
______________________________ ______________________________
Seal of the surety Person duly authorized