Membership Information Request Form

If you are interested in joining the DAR, please fill-in the form below and a local member will contact you. Please provide as much of the following information as possible.

 Red Titles = Required Information
Email Address:
First Name:
Females Only
Last Name:
Address Line 1:
Address Line 2:
Zip/Postal Code:
Office/Other Phone:

Please provide the name of your revolutionary ancestor and the state in which they served (if known.) Please note: It is not necessary to submit more than one request if you have multiple ancestors.

Name of Patriot:
State of Service:
How Did You Learn About DAR:
If you have a relative who is/was a member of DAR, please provide her detail:
 Select Nearest Relative
Relative's Name:
Relative's DAR National Number:
 If Known
DAR Chapter meetings generally take place once a month. Please list the times when you would be available to attend chapter meetings.

Please Note: This form is not an application for membership. The information will allow us to better find you the right chapter to help you through the application process.

If you would prefer to download the form (in Adobe PDF format) to print out and mail in, please - click here.

For more information about how to join the DAR - click here.
Printable Membership Information Request Form
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