Blue Star Mothers ofCoastal Carolina  An ear that listens...A shoulder to cry on...

 Blue Star Mothers of America, Inc.

South Carolina Chapter 8

Organized 2008

www.bluestarmothersofcoastalcarolina.com

× Membership Application ×

Transfer Application

President: Micki Williams 843-215-5055     Email: bluestarmomcoast@aol.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: $20

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)

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:

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: ________________________