The Page-Nelson Society of Virginia
P.O. Box 299
White Marsh, VA 23183
The Articles of Incorporation of The Page-Nelson Society of Virginia provide that any bloodline descendant of Colonel John Page (1627-1692) and/or the Honorable Thomas Nelson (1677-1745), both of York County, Virginia, shall be eligible for membership in the Society provided that the applicant establishes his or her descent from one or both ancestors to the satisfaction of the Society's Genealogist. In all cases the burden of proof is on the applicant, and the proof must be positive, not conjectural. The Society is a 501(c)(3) organization; all dues and donations are tax deductible.
I hereby apply for membership in The Page-Nelson Society of Virginia. I am descended from Colonel John Page and/or the Honorable Thomas Nelson as follows. (Please include birth, marriage, and death dates whenever possible. Give each females maiden name only.)
Parent(s)_____________________________________________________________________________________________
Grandparents_________________________________________________________________________________________
Great1 grandparents___________________________________________________________________________________
Great2 grandparents___________________________________________________________________________________
Great3 grandparents___________________________________________________________________________________
Great4 grandparents___________________________________________________________________________________
Great5 grandparents___________________________________________________________________________________
Great6 grandparents___________________________________________________________________________________
Great7 grandparents___________________________________________________________________________________
Great8 grandparents___________________________________________________________________________________
Great9 grandparents___________________________________________________________________________________
Great10 grandparents__________________________________________________________________________________
Great11 grandparents__________________________________________________________________________________
Great12 grandparents__________________________________________________________________________________
I was born on__________________________________in the city/county of____________________State of__________
I was married on______________________________in the city/county of_____________________State of__________
My spouses full name is (maiden name only for wife)_______________________________________________________
My children are:
Full Name______________________________________Place of Birth______________________Birth Date___________
Full Name______________________________________Place of Birth______________________Birth Date___________
Full Name______________________________________Place of Birth______________________Birth Date___________
Full Name______________________________________Place of Birth______________________Birth Date___________
Give the same information on a separate sheet for each additional child.
If remarried, designate which spouse(s) is/are parent(s) of children.
Enclosed is my non-refundable application fee of $25. I understand that this fee will be applied to my first years dues if my application is accepted.
Signature in writing_________________________________________________________
Printed name___________________________________________________________________
Street Address______________________________________________Apt._________________
City_______________________State_______________________Zip Code_________________
Phone number____________________________ Fax number____________________________
Email address____________________________________________________________________
Until the Society's Genealogist verifies the ancestry of an accepted applicant, he or she is carried as an Associate Member.
When completed, please mail this form with your check for $25 to:
The Page-Nelson Society of Virginia
P.O. 299
White Marsh, VA 23183