Graves Registry Form 10.10F

Illustration of Form

Click URL Below For Individual Form To Complete and Submit By Email

Georgia Society SAr graves registry form
patriot/Member Information
Name:				Registry Type:
Birth Location:					Birth Date:
Death Location:					Death Date:
Biography:




marriage Information
Wife (1) Name:					Marriage Date:
Wife (2) Name:					Marriage Date:
Notes:

service information
Rank:	Location:				Dates:
Source:
Rank:	Location:				Dates:
Source:
Pension information
Pension Number:		Dates:	State Filed:
Notes:

burial information
Cemetery Name:
Cemetery Location:
GPS Location of Grave:
Marker Type:			Date Marked:
Directions to Cemetery:



information furnished by
Name:			Date:
Address:			Phone:
City:		State:	Zip:
Chapter:

Please e-mail this completed form, as well as a JPG image (less than 250Kb) of the

grave/headstone to the State Graves Committee Chairman and the State Webmaster.