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The Shelby Society
Descendants of the Governors of the Commonwealth of Kentucky

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First Application

Date of Interest *

Month

Day

Year

Contact Information

Full Name *

Street Address *

Email Address *

Phone Number *

Are you a direct descendant of a Kentucky Governor? *

Yes

No

If yes, which governor are you directly related?

What is your relationship with the governor?

Daughter

Son

Granddaughter

Grandson

Great Granddaughter

Great Grandson

2nd Great Granddaughter

2nd Great Grandson

3rd Great Granddaughter

3rd Great Grandson

4th Great Granddaughter

4th Great Grandson

5th Great Granddaughter

5th Great Grandson

If you'd prefer, print out the application below and send it to:

Stephen L. Collins
President-General, The Shelby Society
1185 West Main Street
Shelbyville, Kentucky 40065

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