ORDER OF CONFEDERATE ROSE
South Carolina Society
CHARTER
MEMBER APPLICATION
Chapter:
________________________________________
NAME:
__________________________________________
MAILING
ADDRESS: ________________________________
CITY/STATE/ZIPCODE:
_____________________________
HOME
PHONE: _____________________________________
OTHER
PHONE / PAGER, etc.: _________________________
EMAIL
/ FAX, etc.: __________________________________
DATE
OF BIRTH:_______ OTHER QUALIFICATION: _________
RECOMMENDATION:
_________________________________
(signature of
an Officer of this chapter of the OCR)
REFERRAL:
________________________________________
(signature of
SCV #____ Member-in-good-standing)
APPLICANT'S
SIGNATURE: ___________________________
DATE
OF SUBMISSION: _________________________
DUES:
______________________________
(Unless otherwise decided by the new chapter,
Charter Members are those who meet all of the qualifications (dues,
signatures, etc.) prior to the official chartering date.)
Make
check or money order payable to "Order of the Confederate Rose".
This
application is intended for the Charter members of this chapter of the
OCR. Future members will be provided with an application showing the
chosen name of this chapter.
Return
this completed application and your dues to an Officer of this Chapter or
mail it to:
For
more information, you may contact:
Andrea Wolfe, President SC Society OCR,
130 Upper Loop Way, Columbia, SC 29212
http://www.scocr.org
