United Daughters of the Confederacyâ
Membership Application for the
Great, Great, Great Granddaughters Club of General
The Charter Application, Organized November 8, 2009, Biloxi, MS
Name: _____________________________________________________________________
Address: ____________________________________________________________________
City: ______________________________________ State: ________ Zip:________
Phone: ______________________________
E-mail: __________________________________________________________
Chapter/No./City/State: ________________________________________________________
Ancestor: ___________________________________________________________________
Service: ____________________________________________________________________
(As listed on Membership certificate) Please provide page 1 & 4 of approved application.
Place of Burial: ______________________________________________________________
(Cemetery City County State
Type of Marker: ______________________________________________________________
I certify that the above information is true and correct; that the applicant is a member in good standing of the
Chapter named above, and that the applicant is the Great Great Great Granddaughter of the soldier named
herein.
Signature of Applicant: ____________________________________________ Date:________________
Fees: Membership dues and application: $5.00 ($2.00-General; $3.00-Division)
Yearly dues thereafter: $5.00 (payable prior to Aug 31st of each year to Treasurer SC GGG GD Club)
Make checks payable to: Treasurer SC GGG GD Club and mail to Julia Barnes, 710 Due West Road, Honea
Path, SC 29654-8722. juliabarnes@charter.net.
More information will be coming about the pin as soon as it is available from General. Quotes are in the
process and a manufacturer will be chosen as soon as possible.