Great Granddaughters Club
United Daughters of the Confederacy®
North Carolina Division
Certificate Order Form
Name______________________________________________________________________________________
__
As you wish it to appear on the certificate
Great Grandfather's Name__________________________________________________
_____________________
Regiment___________________________________Company_________________________State____________
_
ENCLOSE YOUR CHECK FOR $7.00 WHICH WILL COVER COST OF CERTIFICATE, HANDLING AND
POSTAGE. MAKE THE CHECK PAYABLE TO "TREASURER, NC GGC". MAIL TO MARGARET SINK,
NC GGC TREASURER, 706 PRESWICK DRIVE, NASHVILLE, NC 27856-1682.
NAME____________________________________________________________________________________
__
CITY_______________________________________STATE_____________ ZIP+4__________
DATE________________
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FOR TREASURER'S USE ONLY
Date Certificate Form Received_______________________
Date Certificate Ordered_____________________________
Paid by Personal Check______Chapter Check______Cash__________
Revised 3/2007