Application for Membership


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


The Page-Nelson Society of Virginia

P.O. Box 358

Warrenton, VA 20188


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 females 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 spouses full name is (maiden name only for wife)_______________________________________________________


My children are:

Full Name______________________________________Place of Birth______________________Birth Date___________

Full Name______________________________________Place of Birth______________________Birth Date___________

Full Name______________________________________Place of Birth______________________Birth Date___________

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 $25. I understand that this fee will be applied to my first years 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 $25 to:

The Page-Nelson Society of Virginia

P.O. 358

Warrenton, VA 20188