Paul Revere Chapter Associate Member Form
Welcome to the Paul Revere Chapter in Boston, Massachusetts - celebrating our 125th year!

We welcome associate members from far and wide. Please fill out the form below to process your Associate Membership in our chapter.

Email address *
Tell us about yourself!
Name (First and Last) *
Your answer
DAR National Number *
Your answer
Home Chapter *
Your answer
Mailing Address *
Your answer
Who is your Chapter Registrar? *
Your answer
Registrar Email *
Your answer
Registrar Phone Number *
Your answer
Are your DAR dues (National, State, Chapter) paid in full through the 2019 calendar year? *
Birthday (month and day)
Your answer
How did you hear about the Paul Revere Chapter?
Your answer
Why do you want to be an associate member of the Paul Revere Chapter?
Your answer
How would you like to participate in the Paul Revere Chapter?
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