Membership

The Page-Nelson Society of Virginia
P.O. Box 358
Warrenton, Virginia 20188

Descendants of Colonel John Page and/or the Honorable Thomas Nelson

Application for Membership

The Articles of Incorporation of The Page-Nelson Society of Virginia provide that any bloodline descendant of Colonel John Page (1627-1692) and/or the Honorable Thomas Nelson (1677-1745), both of York County, Virginia, shall be eligible for membership in the Society provided that the applicant establishes his or her descent from one or both ancestors to the satisfaction of the Society’s Genealogist. In all cases the burden of proof is on the applicant, and the proof must be positive, not conjectural. The Society is a 501(c)(3) organization; all dues and donations are tax deductible.

I hereby apply for membership in The Page-Nelson Society of Virginia. I am descended from Colonel John Page and/or the Honorable Thomas Nelson as follows. (Please include birth, marriage, and death dates whenever possible. Give each female’s maiden name only.)

Parent(s)______________________________________________________________________

Grandparents___________________________________________________________________

Great1 grandparents______________________________________________________________

Great2 grandparents______________________________________________________________

Great3 grandparents______________________________________________________________

Great4 grandparents______________________________________________________________

Great5 grandparents______________________________________________________________

Great6 grandparents______________________________________________________________

Great7 grandparents______________________________________________________________

Great8 grandparents______________________________________________________________

Great9 grandparents______________________________________________________________

Great10 grandparents_____________________________________________________________

Great11 grandparents_____________________________________________________________

Great12 grandparents_____________________________________________________________

I was born on_____________________in the city/county of____________________State of__________

I was married on__________________in the city/county of_____________________State of__________

My spouse’s full name is (maiden name only for wife)________________________________________

My children are:

Full Name______________________________Place of Birth_______________Birth Date___________

Give the same information on a separate sheet for each additional child.
If remarried, designate which spouse(s) is/are parent(s) of children.

Enclosed is my non-refundable application fee of $20. I understand that this fee will be applied to my first year’s dues if my application is accepted.

Signature in writing________________________________________

Printed name___________________________________________________________________

Street Address______________________________________________Apt._________________

City_______________________State_______________________Zip Code_________________

Phone number____________________________ Fax number____________________________

Email address__________________________________________________

Until the Society’s Genealogist verifies the ancestry of an accepted applicant, he or she is carried as an Associate Member.

When completed, please mail this form with your check for $20 to:
The Page-Nelson Society of Virginia
P.O. 358
Warrenton, Virginia 20188

Home

01/24/2005 09:02:10 AM