Patrick Cleburne Society
Membership Application

     Thank you for your interest in the Patrick Cleburne Society.   Founded in 1998, our organization was formed with these goals in mind:  (1) to maintain, preserve and , when appropriate, erect monuments to Patrick R. Cleburne. (2) to publish articles and original research in our newsletter, and (3) to promote knowledge about the life and career of Maj. Gen. Patrick R. Cleburne.  The Patrick Cleburne Society is a non-profit organization, and contributions are tax deductible within current IRS regulations.

Online Application
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Name

Address

Address #2

Telephone

E-mail

Fax

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Which membership are you applying for?
Student Individual Family Corporate Lifetime


May we publish your address and phone number in our Membership Roster? Yes No


Are you a descendant of a Confederate or Federal soldier? 
If so, please list the name and unit, if known (note: ancestry
is NOT a criteria for membership):
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Name

Conf/Union

Unit


List any other Civil War organizations in which
you have membership:


Are you willing to serve as an officer in this organization,
or on the Executive Board?     Yes No


Would you be willing to contribute to the newsletter? 
If so, on what topics?


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How did you hear about the Patrick Cleburne Society?
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Other

 

  

 

 

For more information about becoming a member
of the Patrick Cleburne Society contact:

Patrick Cleburne Society
c/o Mauriel Joslyn
9687 Jones Street, Sparta, Ga 31087

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