Current Member Change Form
Please input all information for Member Information to be updated on the Camp Roster
SCV ID# *
Member Prefix
Member Last Name *
Member First Name *
Member Middle Name
Name Suffix
Street Address
Please list the Complete Address - this is needed to mail the Confederate Veteran
City
State
Postal Code
Home Phone #
Include Area Code
Work Phone #
Include Area Code
Fax Phone #
Include Area Code
Pager Phone #
Include Area Code
Mobile Phone #
Include Area Code
Email Address
Camp Name
Camp Number
Brigade *
Camp Office
Division Adjutant use only
Division Office
Division Adjutant use only
National Office
Division Adjutant use only
Division Status
National Status
Member Birthdate
MM
/
DD
/
YYYY
Recommended
Name of SCV Member the new member has been recommended by
Comments
Division Adjutant use only
Guardian
Division Adjutant use only
Guardian Date
Division Adjutant use only
Ancestor Prefix
If known
Ancestor First Name
Ancestor Middle Name
Ancestor Last Name
Ancestor Suffix
Optional
Relationship to Ancestor
If known
Branch
Branch of Military - Army, Navy, Marines
Regiment
Company
Rank
Served Until
Served Until Date
Ancestor Birth date
MM
/
DD
/
YYYY
Ancestor Death date
MM
/
DD
/
YYYY
Buried at
List the name of the Cemetery
Ancestor Comments
Any other information
Submit
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