Blue Star Mothers of Coastal Carolina
P. O. Box 30307
Myrtle Beach, SC 29588
United States
BSM
Blue Star Mothers of America, Inc.
South Carolina Chapter 8
Organized 2008
www.bluestarmothersofcoastalcarolina.com
× Membership Application ×
Transfer Application
President: Sherry Montgomery Email: bsm.coastalsc@yahoo.com
**Please bring applications/check to our meeting or
submit the application/check to:
Blue Star Mothers of Coastal Carolina
PO Box 30307
Myrtle Beach, SC 29588
Annual Membership Fee: $30
Note: Associate Members and Dads do not pay fees
Please check one of the following:
Membership: I am a New Member:___
I am a Transfer Member ___
From Chapter # City and State______________________________
I am a member renewing for year:____
Please check one of the following:
I am a: ___ Mother ____Gold Star Mother ____Associate ____Dad
Please print Chapter Name, Number and Location: (REQUIRED)
Blue Star Mothers of Coastal Carolina #8
Applicants Full Name: __________________________________________________
Address: (city, state & zip), (WE MUST HAVE COMPLETE INFO) _______________________________________________________________________
___________________________________________________________________________________________________
Email: _________________________________________________________
Home Phone:(REQUIRED) _____________________
cell (optional) ____________________
Please fill out the following for each military/veteran child. Use reverse side if necessary:
Name | M/F | Branch/Veteran |
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LOYALTY OATH: I do solemnly swear that I am not a Communist, Fascist, or Terrorist. I do not advocate nor am I a member of any organization that advocates the overthrow of the government of the United States by force or violence or other unconstitutional means or seeking by force or violence to deny any person their rights under the Constitution of the United States.
I do further swear that I will not so advocate nor will I become a member of such an organization during the period I am a member of the Blue Star Mothers of America, Inc. I will support and defend the Constitution of the United States against all enemies foreign or domestic; that I will bear true faith and allegiance to the same that I sign this oath freely, without any mental reservation or purpose of evasion, so help me God.
Signature: ________________________________________Date:________________
For Administration Only: Date application received _____________
Received by: _______________________
Paid: by check #. ______ cash _______money order # _______________
Amount: ______________
Membership card: ____ given ____ mailed ____ Date: _________
Date deposited into account: ________________________
Copyright 2010 Blue Star Mothers of Coastal Carolina. All rights reserved.
Blue Star Mothers of Coastal Carolina
P. O. Box 30307
Myrtle Beach, SC 29588
United States
BSM