<p> CONFEDERATE ANCESTOR RESEARCH FORM</p><p>CSA Ancestor’s Full Name: </p><p>Company & Regiment: State Enlisted: </p><p>Please Circle: Artillery Cavalry Infantry Other: _ </p><p>Requirements for Researching Pension Records</p><p>Town: County: State: </p><p>Spouse’s Name: </p><p>Research Options Fees Military Service Record Only. Member/Prospective Member $15.00 National Archives microfilm and compiled Confederate Services Record. Non-member $25.00 Rarely is any genealogical information found on military records.</p><p>Pension Record. Only available from the Business Office for the following Member/Prospective Member $ 15.00 states: Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Missouri, Non-Member $25.00 South Carolina and Tennessee. Please do not request pensions for states not listed above.</p><p>Combination Research. Includes both Confederate Member/Prospective Member $25.00 Military Service Record and Pension Record. Only for the states listed above. Non-Member $35.00</p><p>Subtotal</p><p>$ </p><p>Shipping & Handling</p><p>$6.00</p><p>Total Enclosed</p><p>$ </p><p>“PROSPECTIVE MEMBER” RATES ARE EXTENDED ONLY TO PERSONS WHO HAVE BEEN INVITED TO JOIN A SPECIFIC CHAPTER</p><p>Name: </p><p>Mailing Address: </p><p>City: State: Zip Code: Phone: </p><p>Email: Chapter Name & Number: </p><p>City: State: _ </p><p>UDC Official Form Revised February 2015 Please make check payable to “Treasurer General, UDC” and mail to: UDC Bu sin ess Off ice 32 8 No rth Bo ule var d Richmond, VA. 23220</p><p>If you prefer to use a credit card, please complete the following:</p><p>Type of Card: ______Credit Card No.: </p><p>Expiration Date: Signature: </p><p>UDC Official Form Revised February 2015</p>