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 types 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 $10.00 _____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 exas Society
Order of Confederate Rose or Texas Division Sons of Confederate Veterans.
Applicant’s
Signature_______________________________________________________________Date__________________________________
Endorsed by (Signature)________________________________________________________Chapter/Camp________________________________