North Carolina Society of the Sons of the American Revolution
Application for Dual Membership
(within the North Carolina Society)
“Members of the State Society may become a dual member with any other Chapter within the State Society following the
procedures established by a chapter….”
NCSSAR Handbook, By-Laws of the NCSSAR, Section D, Article 1, Section 5
Name:
National Number:
State Number:
Street Address:
City:
State:
Telephone Number:
E-mail Address:
Zip Code:
Date: 3/11/2015
To the Secretary of the North Carolina Society, National Society of the Sons of the American Revolution.
I am a member of the Enter name of your current chapter Chapter in the North Carolina Society and
request dual membership in the Enter the name of the chapter with which you wish to maintain dual
membership Chapter, North Carolina Society of the Sons of the American Revolution.
I affirm my membership is current in the Enter name of your current chapter Chapter, and that I
recognize that it is my responsibility to maintain an active membership in the Enter name of your
current chapter Chapter, which is responsible for reporting my status to the North Carolina Society of
the Sons of the American Revolution.
Signature of compatriot: _________________________________________
Courtesy Copy to:
Current Chapter Commander
Dual Chapter Commander
NCSSAR Secretary
North Carolina Form 2015-2
Use NSSAR Form 0920: Dual Membership for membership in other state societies