Virginia Division, Sons of Confederate Veterans

Application for Life Membership

I hereby make application for Life Membership in the Virginia Division, Sons of Confederate Veterans. My payment is enclosed which entitles me to lifetime membership within the Virginia Division.  I further understand that I am still obligated to pay any National or Camp annual dues.

Life Membership ___ $200 (Ages 12-59) ____ $100 (60+)

Name:________________________________________________

Age:__________

Street Address:_______________________________________

City:_____________________________

State: ___________________________

Zip Code:________________________

I am affiliated with Camp ___________________________________#__________

I hereby make application for Life Membership in the Virginia Division Sons of Confederate Veterans. My initial payment is enclosed with this application.

Signature: ____________________________________ Date:___________________

Life Membership in the Virginia Division, Sons of Confederate Veterans is open to any member in good standing with a camp of the Virginia Division. It may be obtained by paying a fee as shown above.  The Life Member will receive a Life Membership certificate and lapel pin upon payment in full.

Please submit a copy of this form to your camp Adjutant, so that he may make record of your application so that he does not charge your for Division dues in the future.

Mail the completed application and applicable fee to the Division Adjutant:

Christopher J. Evans

5707 Stoneacre Court

Glen Allen, VA 23059-5376