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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 . Application will be processed upon receipt of payment.

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