Member Application
 
*Required fields;

Please mail your check to the address at the bottom of this page.

New Member. If this is your first visit, you must complete the application form below for your new account.

Current Member. If you are currently a member you may close this window and thank you for renewing. You may also update your account information below if anything has changed.

Former Member. If you are renewing an expired account, you may update and re-submit your previous application and keep your previous user name and email address. If your application is no longer on file, you must submit a new one. Please contact the site administrator if you need assistance.

       

Username*
Password*
Password Again*
Your Real Name*
Maiden Name
Phone*
Mobile
Email*
Email Again*
Street Address*
Post Office Box
City*
State*
Zip Code*
Country*

What is your link to the Chamberlain family? Please complete the following starting with yourself or your spouse, whichever is in the Chamberlain line. If none of the people you list are named Chamberlain, use the Notes area below to describe your connection to a Chamberlain ancestor, if any.

First Chamberlain Descendant (applicant or spouse)
Descendant's full name
 
This is the Chamberlain descendant
Descendant's date of birth
Descendant's place of birth
Descendant's date of death (if applicable)
Descendant's place of death (if applicable)
Name of descendant's spouse
 
Parents
Father's full name
 
Father is Chamberlain descendant
Father's date of birth
Father's place of birth
Father's date of death (if applicable)
Father's place of death (if applicable)
 
Mother's full name
 
Mother is Chamberlain descendant
Mother's date of birth
Mother's place of birth
Mother's date of death (if applicable)
Mother's place of death (if applicable)
 
Date your parents were married
Place your parents were married
Grandparents
Grandfather's full name
 
Grandfather is Chamberlain descendant
Grandfather's date of birth
Grandfather's place of birth
Grandfather's date of death (if applicable)
Grandfather's place of death (if applicable)
 
Grandmother's full name
 
Grandmother is Chamberlain Descendant
Grandmother's date of birth
Grandmother's place of birth
Grandmother's date of death (if applicable)
Grandmother's place of death (if applicable)
 
Earliest Known Ancestor
Ancestors's full name
 
Ancestor's date of birth
Ancestor's place of birth
Ancestor's date of death
Ancestor's place of death
Full name of ancestor's spouse
Ancestor's date of marriage
Notes

Please make check payable to World Chamberlain Genealogical Society and mail to WCGS Corresponding Secretary, 13305 Cloverdale Pl. Germantown, MD 20874. Application will be processed upon receipt of payment.

Chamberlain forms v13.0.2.3 revised 21 Dec 2020