Current Member Change Form

Please input all information for Member Information to be updated on the Camp Roster

SCV ID#

This is a required question

Member Prefix

Mr
Dr
Rev

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Member Last Name

This is a required question

Member First Name

This is a required question

Member Middle Name

This is a required question

Name Suffix

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Street Address

Please list the Complete Address - this is needed to mail the Confederate Veteran

This is a required question

City

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State

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Postal Code

This is a required question

Home Phone #

Include Area Code

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Work Phone #

Include Area Code

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Fax Phone #

Include Area Code

This is a required question

Pager Phone #

Include Area Code

This is a required question

Mobile Phone #

Include Area Code

This is a required question

Email Address

This is a required question

Camp Name

This is a required question

Camp Number

This is a required question

Brigade

This is a required question

Camp Office

Division Adjutant use only

This is a required question

Division Office

Division Adjutant use only

This is a required question

National Office

Division Adjutant use only

This is a required question

Division Status

This is a required question

National Status

This is a required question

Member Birthdate

Recommended

Name of SCV Member the new member has been recommended by

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Comments

Division Adjutant use only

This is a required question

Guardian

Division Adjutant use only

This is a required question

Guardian Date

Division Adjutant use only

This is a required question

Ancestor Prefix

If known

This is a required question

Ancestor First Name

This is a required question

Ancestor Middle Name

This is a required question

Ancestor Last Name

This is a required question

Ancestor Suffix

Optional

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Relationship to Ancestor

If known

This is a required question

Branch

Branch of Military - Army, Navy, Marines

This is a required question

Regiment

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Company

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Rank

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Served Until

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Served Until Date

This is a required question

Ancestor Birth date

Ancestor Death date

Buried at

List the name of the Cemetery

This is a required question

Ancestor Comments

Any other information

This is a required question