To the Officers and Members of

Camp No. , Located at

State of

    I, the undersigned, respectfully petition to become a member of the

Sons of Confederate Veterans

    And if accepted, do hereby promise strict compliance to the Constitution and rules of the organization

    The Confederate patriot through whom I petition for membership, and who adhered to the Cause of Confederate

States of America was my whose name was

of , .

My Lineal Collateral Confederate ancestor was a in Company ,

.

My Confederate ancestor was killed, died, paroled, surrendered, released on oath, or discharged

on and is buried in .

Recommended by