CONFEDERATE STATES VEXILLOLOGICAL ASSOCIATION

MEMBERSHIP APPLICATION FORM

To apply for membership in the Confederate States Vexillological Association (CSVA) complete the form below, then press the "Send" button.  

Please check your entries before sending; if you make a mistake simply backspace or highlight and delete.  If you need to start over there's a "Clear All" button near the bottom of the form.  If a field does not apply to you just skip it.  Entries marked with an * indicate required information.  Application form information is not sold or distributed for marketing purposes.  Application form information becomes directory information upon payment of dues.

Date:                                

Your e-mail address:*     

Your name:*                     (given name and surname)

Street address:*              (or locator)

City or Post Office*         

State or Province:*         

Postal Code (if any):*     

Your Country:*               

Home Telephone:               May we make it available to other members? YES NO

Business Telephone:      

FAX Number:                

Web site URL:              

IF YOU ARE UNDER 16 YEARS OF AGE PLEASE ANSWER THE FOLLOWING :
Date of Birth:                   (day-month-year) 

HAVE YOU BEEN PUBLISHED?  If you have written books or articles on vexillological subjects (and especially on Confederate vexillology) we'd like to hear about it.  Please provide details: for example, name of work (article, book, etc.); name of publication (magazine, newsletter, etc.); publication's  isbn OR issn number (if known); pending publications; etc.  

NEED TO START OVER? JUST CLICK THE "Clear All" BUTTON

By submitting this application I declare that I have read and understand the bylaws 
of the Confederate States Vexillological Association, and agree to abide by them.

WHEN THE FORM IS COMPLETED TO YOUR SATISFACTION PRESS THE "Send Application" BUTTON

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