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Fill out (legible hand-print is
acceptable) and send the form below to the Maryland Mayflower Society
Historian. Your lineage will be reviewed and a response will be provided with
instructions about formal application procedures. |
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For Junior Member applicants, Right Click
->
 PDF Form |
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Note: Make a copy for yourself.
Mail
this Preliminary Review Worksheet form to:
Mr. John L. Pettit
State Historian
916 Kent Avenue
Baltimore, MD
21228-1211 |
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The State Historian will advise you on the
preparation of an application for membership. Please note that membership will
not be conferred until (1) your application has been approved both by the
Maryland State Historian and by the Historian General of the General Society of
Mayflower Descendants, and (2) you have paid all requisite fees and
dues. |
A PDF format Worsheet is available which
will print on a single page....
worksheet.pdf |
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Preliminary Review
Worksheet |
| Date: |
Phone: |
| First
Name: |
Last
Name: |
| Street: |
Unit/Apt#: |
| City: |
State: |
| Zip code
+4: |
Occupation: |
| Email
Address: |
| 1. Name of your Mayflower Pilgrim Ancestor: |
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| 2.
Son/Daughter: |
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Married: |
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| 3.
Son/Daughter: |
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Married: |
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| 4.
Son/Daughter: |
|
Married: |
|
| 5.
Son/Daughter: |
|
Married: |
|
| 6.
Son/Daughter: |
|
Married: |
|
| 7.
Son/Daughter: |
|
Married: |
|
| 8.
Son/Daughter: |
|
Married: |
|
| 9.
Son/Daughter: |
|
Married: |
|
| 10.
Son/Daughter: |
|
Married: |
|
| 11.
Son/Daughter: |
|
Married: |
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| 12.
Son/Daughter: |
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Married: |
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| 13.
Son/Daughter: |
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Married: |
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| 14.
Son/Daughter: |
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Married: |
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| 15.
Son/Daughter: |
|
Married: |
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Your name should be last.
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CAUTION - If you contact us via e-mail, we
cannot assure the privacy of the information you may transmit, since the
information you send can be read while in transit. |
