UNITED DAUGHTERS OF THE CONFEDERACY
                                                      NORTH CAROLINA DIVISION                                                              
                                                       GRANDDAUGHTERS CLUB
                                          
                                                       MEMBERSHIP APPLICATION
                                                    
                                                              
PRINT OR TYPE

Applicant's Name: ________________________________________________________________________

Address: ________________________________________________________________________________

Home Telephone Number: _________________________________________________________________

Chapter Name and Location: _______________________________________________________________
                                    
Name of Grandfather: _____________________________________________________________________

Confederate Military Unit: _________________________________________________________________



_______________________________________                        ________________________
         Applicant's Signature                                                          Date

COPY OF UDC CERTIFICATE FOR GRANDFATHER MUST BE ENCLOSED.

-
Forward the original and one copy to the Granddaughters Club Treasurer.  
Mail to Jacqueline Utz, 1
000 Wesley Pines Rd. #107, Lumberton, NC 28358-2153

- Enclose a check for $3.00 to cover dues to both General and Division.
Make check payable to NC UDC RG Club.

- For a certificate, enclose a check for $8.00 payable to NC UDC RG Club.  

- This can be all in one check for a total of $11.00.



                                                                                                                                                 
 revised April 2017