Palmetto Soldiers Relief Society





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Membership Application

Palmetto Soldiers Relief Society

Application for Membership

As we portray the activities of our ancestors, let us do so in such a manner that it brings honor and credit to their memories. Their sacrifices and efforts in support of their men deserve tribute. We will support and enhance the authenticity of the Palmetto Battalion, Inc. It is also our goal to provide an educational opportunity for both ourselves and our fellow citizens. We welcome you to the fun and fellowship of a family hobby.

 

Membership Year:________________________New Member:__________Renewal:____________

PLEASE PRINT

Name:

 

Date:

 

Address:

     

City, State, Zip:

     

Home Phone:

 

Birthday:

 

Email Address:

 

Work Phone:

 

Spouse:

 

Children (Names & Age):

 

Emergency Contact:

 

Phone:

 

Insurance Company:

     

Doctor’s Name:

 

Phone:

 

Medical Conditions/

Allergies:

     

Medications:

     
       

Unit Affiliation:

 

Company:

 

Your particular interest (period clothing, cooking, makeup, crafts, medicine, history, first person portrayals, fashion shows participant/commentator, etc.)

 
 

 

Do you have a special talent, shill or knowledge that you would be willing to share at events (weaving, spinning, quilting, story telling, etc.?)

 
 

 

Dues are $15.00 per year, payable with this application. Please have your Unit Rep. Sign this form and make the check payable to the Palmetto Soldiers Relief Society. Then mail it to: Nita Keisler

617 Pond Branch Road

Lexington, SC 29073

cnfdrtroz@pbtcomm.net

 

 

Applicant’s Signature/ Date

 

 



Your membership in a Palmetto Battalion's Unit must be verified before you may have all the privileges

 of the new membership year.  If you submit this form without having you Unit Rep. sign it, then it must

be varified. Please include a contact name in the field above to help us expedite this for you.









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