Membership Interest Form - Daughters Of The American Revolution

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MEMBERSHIP INTEREST FORM
Any woman, 18 years or older, regardless of race, religion, or ethnic background, who can prove lineal
descent from an ancestor who aided in achieving American independence is eligible for membership.
Applicants must complete an official NSDAR Application, which is a genealogical chart with accompanying
documentation to prove each generational link, such as records of birth, marriage, and death.
Name
First
Middle
Maiden
Last
Address 1
Address 2
City
State
Zip
Country
Home Phone (
)
Office/Other Phone (
)
E-mail
Do you have relatives who are/were members of DAR? (check nearest relative)
MOTHER
SISTER
GRANDMOTHER
AUNT
COUSIN
OTHER
Relative s Name
Relative s DAR National Number (if known)
Do you know your Revolutionary ancestor? If so, provide as much information as you know:
Patriot s Name
State of Service
State of Birth
State of Death
Patriot s Spouse s Name
Membership in the DAR is managed through individual state organizations. This includes several overseas
units. Please indicate the state (or country) where you would like to be a member:
DAR chapter meetings generally take place once a month. List times when you would be available to attend
chapter meetings (i.e., days of the week, hours in the day).
How did you learn about DAR?
Thank you for your interest in DAR! A membership representative will contact you to assist in the genealogical
portion of your Membership Application Process.
Please return this form to:
Office of the Organizing Secretary General
NSDAR
1776 D Street NW
Washington, DC 20006–5303
Phone: (202) 879–3224
E-mail:
You may choose to fill out this form online at We hope to welcome you as a future member of
the Daughters of the American Revolution.
Document No. PR-MIF-1000
(Revised July 2015) 0715–0001–GD

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