Order of the Confederate Rose
Application
Date___________ Life _____ Regular ______
Name______________________________________________Date of Birth___________________
Street Address____________________________________________________________________
City/State/Zip code_________________________________________________________________
Area Code/Phone #_________________________________________________________________
Local Son of Confederate Veterans Affiliation___________________________________________
Email address_____________________________________________________________________
* Recommendation ________________________________________________________________
Reason for becoming a member__________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Your Signature________________________________________________________________________
*Your recommendation must be a current OCR member or SCV member
Note: If you do not know an OCR or SCV member to recommend you, please leave that line blank. Please complete and return to the address below with your check or money order for dues. ($20.00 for 1 year or $150.00 for a life time membership) payable to Order of the Confederate Rose.
Mail dues and application to: Lisa Morgan, 603 Shadeville Road, Crawfordville, FL 32327