Transcription of Military Order of the Stars and Bars APPLICATION …
1 Military Order of the Stars and BarsAPPLICATION FOR transfer OF MEMBERSHIPMEMBER INFORMATIONDate: _____ 20____ Member No: _____ Date Joined: _____I, _____, am a member in good standing in the _____ Chapter # _____in the city of _____ in the state of _____ My email address is: _____Street Address: _____ City: _____ State: ____ Zip: _____My Ancestor information is: _____I request that my membership be transferred to _____ Chapter # _____Member s SignatureRECEIVING CHAPTERDate: _____ 20____ TO: Adjutant General MOSBC ompatriot _____ is hereby accepted as a member of _____ Chapter # _____Chapter Commander / Adjutant Signature: _____HEADQUARTERS INFORMATIONThis Compatriot was officially transferred on General Headquarters rolls on _____ 20____ Staff Signature: _____Distribution: 1-Demitting & Receiving Chapters; 1-Society Commander; 1-Department Commander; 1-IHQ Member FileMOSB IHQ, BOX 18901, RALEIGH, NC 27619-8901 Form Revised 10/24/2015
