Life membership in the Sons and Daughters of the Confederacy is $15.00. Please print and complete this form and send it along with your check or money order made payable to K. Steven Monk. A certificate of membership in the Sons and Daughters of the Confederacy will be sent by USPS mail to the address you provide below and you will be added to our current membership roster. All information you provide is held as confidential and will not be shared with any other organisation or individual.
By the blood that flows through my veins, I do solemnly affirm that I am a descendant of the Confederate veteran named below. I do further attest that this ancestor served honorably in the service of the Confederate States of America during the War for Southern Independence. Furthermore, in recognition of the sacrifice that he made, I do solemnly avow to defend the legacy he left, the Christian values that he held dear and the principles of Constitutional government for which he fought, from all who would dare assail those righteous principles, so help me God.
____________________________________________
Name of applicant (print)
______________________________________________
Signature of applicant
________________________________________
Witness (print name)
_________________________________________
Signature of witness
APPLICANT'S FULL NAME:_________________________________________________________
STREET ADDRESS:_________________________________________________________________
CITY_________________________________ STATE_________ ZIP CODE:___________________
EMAIL ADDRESS:__________________________________________________________________
PHONE (Optional):__________________________________
THE NAME OF YOUR CONFEDERATE ANCESTOR:_____________________________________
ANCESTOR'S RELATIONSHIP TO YOU:_______________________________________________
THE UNIT HE SERVED IN:___________________________________________________________
ANY ADDITIONAL INFORMATION YOU
MAY WANT TO PROVIDE ABOUT YOUR ANCESTOR:__________________________________
_________________________________________________________________________________