Application for Membership



Application for Membership

Name:      

Address:      

Telephone:      

E-mail:      

I hereby apply for membership in The Order of Descendants of the Ancient and Honorable Artillery Company by virtue of my descent from (give name of ancestor):      

Proof of my ancestor’s service is found in (give full source citations):      

This application is correct to the best my knowledge and belief.

Applicant Signature Date

My descent is as follows:

1.      , my QUALIFYING ANCESTOR, was

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

2.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

3.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

4.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

5.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

6.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

7.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

8.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

9.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

10.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

11.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

12.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

13.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

14.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

Their       was

15.      

b.       at      

d.       at      

m.       at      

to      

b.       at      

d.       at      

Proofs:      

-----------------------

Genealogy approved by

Genealogist General

Member Number ______________

Date approved _______________________________ Fee paid $_____________________

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