Member # ______
Founded 6February 2013
Application for Membership
I, the undersigned, apply for Life Membership in this order by right of lineal descent from
(name as it will appear on the certificate)
born in: on or about:
settled in the county of: in Virginia on or about:
died in: on or about:
Name of Applicant:
Street:
City: State: Zip + 4:
Telephone: Email:
Name as you would like it on the Certificate:
SDVAFF Member Sponsors
and
Applicant’s Signature: ______Date: ______
Examined Approved:______, Genealogist Date:______
All Generations MUST be proven from the applicant to the Virginia ancestor.
Applicant:
1.
Born at: on:
Married (1) on: at:
To:
Born at: on:
Died or divorced at: on:
Married (2) on: at:
To:
Born at: on:
Died or divorced at: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
The said was the child of:
Born at: on:
Died at: on:
Married on: at:
To:
Born at: on:
Diedat: on:
Proofs:
My Virginia ancestor was married to
(1) on in
(2) on in
(3) on in
Proof:
Children of my Virginia ancestor (by each marriage, if applicable)
marriage born married to
marriage born married to
marriage born married to
marriage born married to
marriage born married to
marriage born married to
marriage born married to
marriage born married to
marriage born married to
marriage born married to
Proof:
In the event that an SDVAFF Lineage Book is published some time in the future, I
do
do not
give my permission to have my lineage included.
1
KEM
2013