The National Society of the Claiborne Family Descendants
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TO: Douglas L. Edgmon
Membership Chairman
P.O. Box 905
Waldport, OR, 97394
Email: dledgmon@peak.org

APPLICATION FOR MEMBERSHIP
(Please Print)

Name of Applicant: ________________________________________
(Claiborne Descendant)

Spouse: _______________________________

 

Mailing Address:___________________________________________________
___________________________________________________
___________________________________________________

Tel: _________________________

Fax: _________________________

E-Mail: _______________________

Name of Descendants (if known) __________________________________
Please include a pedigree Chart if you have one. Include at least 4 generations

Are you interested in sharing genealogical knowledge: yes _____ no _____

Signature __________________________________

 

Amount Due: Application fee ($20) plus
First year dues ($10) = $30 ____ or Lifetime Membership option of $200 _____