FOR OFFICE USE ONLY

 

Chapter#________Classification________

 

Amount$_______ Check#_____________

 

Approval Date___________(Rev. 2007)

 

Texas Society Order of Confederate Rose, Inc

 

MEMBERSHIP APPLICATION

 

 

Name_________________________________________________________________________________Telelephone___________________________

 

Address_____________________________________________City_____________________________State_________Zip Code__________________

 

E-Mail__________________________________________ Cell Phone____________________________________ Mark One____Lady_____Gentleman

 

 

Chapter Name & Number____________________________________________________City_______________________________________

 

Tell us about your Talents and /or tasks you are willing to perform______________________________________________________________________

 

_________________________________________________________________________________________________________________________.

Mark your choice of membership type then send completed application and your check made payable

To TSOCR for the dues amount corresponding to the type of membership you seek to:

 

Cindy Bobbitt, TSOCR Treasurer

211 FM 2274 N, Jacksonville, Texas 75766

cbobbitt@peoplepc.com, 903-683-5554

 

_____Chapter Member $20.00 _____Member at Large $20.00 ____ Lifetime Member$120.00

 

Application MUST be signed and dated by the applicant and endorsed by a current member of the Texas Society Order of Confederate Rose or Texas Division Sons of Confederate Veterans.

 

Applicant’s Signature_______________________________________________________________Date__________________________________

 

 

Endorsed by (Signature)________________________________________________________Chapter/Camp________________________________