The International Society of the Descendants of Charlemagne

FORM FOR ADMISSION

Please PRINT this form and complete in its entirety, then mail with the fee to the address at the end of the form.
Should you need additional room, kindly attach additional pages.

NAME:_____________________________________________________________

NOBILARY, SOCIAL,

MILITARY OR

ACADEMIC TITLES:__________________________________________________

RESIDENCE:________________________________________________________

________________________________________________________

ADDRESS:__________________________________________________________

__________________________________________________________

TELEPHONE NUMBER:_______________________________________________

FAX NUMBER:______________________________________________________

e-MAIL: ____________________________________________________________

DATE OF BIRTH:____________________________________________________

PLACE OF BIRTH:___DAY_________MONTH_____________YEAR_________

CITIZENSHIP:_______________________________________________________

NAME OF SPOUSE:__________________________________________________

DATE OF MARRIAGE:________________________________________________

NAMES OF ALL CHILDREN:__________________________________________

___________________________________________________________________

 

RELIGIOUS DENOMINATION:________________________________________

 

EDUCATION:

(Name of schools, colleges and universities.)

__________________________________________________________________

 

ACADEMIC DEGREES:

(Note differentiation between earned and honorary.)

__________________________________________________________________

 

PROFESSION:______________________________________________________

 

MILITARY SERVICE________________________________________________

Highest rank attained:__________________________________________________

 

DECORATIONS AND MEDALS:_______________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

PROFESSIONAL SOCIETIES:_________________________________________

__________________________________________________________________

 

PATRIOTIC, LEARNED OR CIVIC SOCIETIES:

(Including Veterans, or Military organizations, lineage, and patriotic societies.)

__________________________________________________________________

 

CLUBS:___________________________________________________________

 

OTHER INFORMATION:

 

 

LIST ORDERS OF KNIGHTHOOD AND NOBILIARY ASSOCIATIONS:

 

 

ARMORIAL BEARINGS:

(Persons having been formally Granted, Matriculated, Registered or otherwise recognized as being eligible to rightfully bear a coat of arms should enclose full details and photocopies of appropriate documents. Be sure to include a blazon or technical description of the Arms and a "line drawing" suitable for reproduction.)

Description from Grant, Matriculation, or Registration:

 

 

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

I hereby request admission into the International Society of the Descendants of Charlemagne. I further affirm that the above and foregoing, along with the attached lineage is both true and correct, to the best of my knowledge and belief. And, I further agree that if accepted into the Society, that I will always work towards the betterment of the Society, and I will do no harm or damage to its reputation and standing within society in general.

 

Respectfully submitted, Date:________________

____________________________________

 

Please return this form to:

The Office of the Governor General
The International Society of the Descendants of Charlemagne
Post Office Box 5259
Titusville, Florida 32783-5259

Please enclose with this form the following items:

Your lineage back to Charlemagne, using GEDCOM format on Diskette.

or,

any Standard Pedigree Chart,

or,

Family Group Record for each generation.

Your payment of $50.00 U.S. Dollars, admission fee.

You will receive, in due course, your membership certificate in the Society.

All papers must be processed, and accepted by our admissions committee prior to the issuance of the membership document. This does take time, so please be patient.