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Cody Crislip
2024-06-01T00:20:41-05:00
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What is your Confederate Soldiers full name?
*
What is your relationship to the Confederate Soldier?
*
Grandfather
Great Grandfather
2nd Great Grandfather
3rd Great Grandfather
4th Great Grandfather
5th Great Grandfather
6th Great Grandfather
7th Great Grandfather
8th Great Grandfather
Great Uncle
2nd Great Uncle
3rd Great Uncle
4th Great Uncle
5th Great Uncle
6th Great Uncle
7th Great Uncle
8th Great Uncle
Is this relationship Lineal or Collateral?
*
Lineal
Collateral
Where is your Confederate Soldier from?
City/County?
*
State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Military History
What was your Confederate ancestors rank?
*
General
Lt. General
Major General
Brigadier General
Colonel
Lt. Colonel
Captain
Major
1st Lt.
2nd Lt.
Sgt Major
1st Sergeant
2nd Sergant
3rd Sergeant
1st Corporal
2nd Corporal
Corporal
Private
Surgeon
Asst Surgeon
Chaplain
Body Servant
In which Company?
*
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Complete Name of Regiment and Unit
*
My Confederate ancestor was:
*
Paroled
Surrendered
Released on Oath
Discharged
Killed
Died
On
Where is your Confederate Ancestor buried? (if known)
Cemetery Name
Cemetery City/County
Cemetery State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Tell us about you!
Name
*
First
Last
Your Date of Birth
*
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Email
*
Tell us who referred you
Referring Members Name:
First
Last
Referring Member SCV ID No.
Referring Camp's Name
Referring Camp's Number
Signature
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Clear Signature
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