Membership Application Form
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1Application for Membership
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To the officers and Members of __________________________________________________________
Camp # ________________ Located at ___________________________________________________
State of __________________. I, the undersigned, respectfully petition to become a member of the
Sons of Confederate Veterans
Initial National Dues are $35.00 which includes a $5.00 recording fee. NC Division dues are $15.00 and Camp dues are additional.
Submit your application directly to the local Camp you wish to join. If accepted, I 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:
Relationship to applicant _____________________________________________________________________, whose name was
Full Name of Confederate Soldier______________________________________________________________________________
Of City, County and State ____________________________________________________________________________________
My (check one) Lineal [
] collateral [
] Confederate Ancestor was a (Rank) ____________________ In Company ___________
Complete Name of Regiment or Unit _________________________________________________________________________
My Confederate Ancestor was: [
] Paroled, [
] Surrendered, [
] Released on Oath, [
] Discharged, [
] Killed, [
] Died.
On (date) _________________________ and is buried in (County, State) ___________________________________________
Name of Cemetery ________________________________________________________________________________________
Applicants Full Name_____________________________________________________________________________________
Signature_______________________________________________________________________________________________
Street Address __________________________________________________________________________________________
City, State, Zip Code _____________________________________________________________________________________
DOB____________________ Phone__________________________ Email __________________________________________
Recommended By:
Current Member’s Name__________________________________ Camp Name and # ___________________________________
Report on Application
This application has been examined, and from the information which the Camp committee has been able to procure, is approved
Signature – Camp Committee on Application__________________________________________________________________
Signature – Camp Committee on Application__________________________________________________________________
Date Approved for Membership by Camp_____________________________________________________________________
Date Received at GHQ ______________________________________________________________________________________
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