Membership Interest Form
If you are interested in joining the U.S.D. of 1812, please fill out the form below, and someone will contact you shortly.
Please fill in as much information as possible. 
The U.S.D. of 1812 Insignia is the property of and is copyrighted by the National Society
of the United States Daughters of 1812.  Authorization must be received by the National Society.

Web hyperlinks to non-U.S.D. of 1812 sites are not the responsibility of the
N.S.U.S.D. 1812, the state societies, or  individual 1812 chapters.
E-mail Address: *
First Name: *
Last Name: *
Address Line 1: *
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Phone/Other:
Please select the state of which you would like to be a member. *
Name of Patriot: *
State of Service:
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  2010  National Society United States Daughters of 1812                                                                                (202) 745 -1812
  1461 Rhode Island Avenue, N.W.                                                                                           contact@usdaughters1812.org
  Washington, D.C. 20005-5402