Application For Membership
(Type or Print Clearly in Black Ink Only To Avoid Mistakes)
To the Officers and Members of _______________________________________________________________________
Camp No. _______________
, Located at ____________________________________________________
State of___________________________.
I, the undersigned, respectfully petition to become a member of the
Sons of Confederate Veterans
Initial dues are $20.00 with a $5.00 recording fee; local and state fees are additional.
And if accepted, do hereby promise strict compliance to the Constitution and rules of the organization.
The Confederate patriot through whom I petition for membership, and who adhered to the Cause of the Confederate
States of America was my_____________________________________________________
whose name was
Relationship to Applicant (Print Clearly)
__________________________________________________________________________________________________,
Full name of Confederate soldier (Print Clearly)
of _______________________________________________, ____________________________________.
City / County (Print Clearly)
State
My
Lineal [ ]
}
Collateral [ ]
(check one)
Confederate ancestor was a ______________________
In Company _________________,
___________________________________________________________________________.
Rank(Print Clearly)
Complete name of regiment or unit (Print Clearly)
My Confederate ancestor was paroled [ ], surrendered [ ], released on oath [ ], discharged [ ], killed [ ], or died [ ]
(check one)
on_________________
and Is buried In _______________________________________________________
Date
County
State
Name of Cemetery
_________________________________________________         ______________________________________________
Clearly Print Full Name
Legal Signature
___________________________________________________________________________________________________
Address
City
State
Zip Code
___________________________________________________________________________________________________
Date of Birth
Occupation
(
)
Home Phone
(
)
Work Phone
E-mail
Recommended by
Report on Application
This application has been examined, and from the information which the camp committee has been able to procure, is approved.
_______________________________________________        _________________________________________________
Current Member's Name
(Print)
Camp Name & Number
Camp Committee on Application
_______________________________________________        _________________________________________________
Camp Committee on Application
_______________________________________________                          _________________________________________
Date Approved for Membership by Camp
Date Received at IHQ