MAINE MAYFLOWER SOCIETY
Historian, P.O. Box 622, Yarmouth, ME 04096
MEMBERSHIP REQUIREMENT
Proof of descent from one of the following MAYFLOWER Passengers.
| John Alden | Francis Eaton | Thomas Rogers |
| Issac Allerton | Moses Fletcher | Henry Samson |
| John Billington | Edward Fuller | George Soule |
| William Bradford | Dr. Samuel Fuller | Myles Standish |
| William Brewster | Stephen Hopkins | John Tilley |
| Peter Brown | John Howland | Richard Warren |
| James Chilton | Richard More | William White |
| Francis Cooke | William Mullins | Edward Winslow |
| Edward Doty | Degory Priest |
| Age 0 - 18 (Junior Life) | $500.00 | ||
| Age 18 - 30 | $300.00 | ||
| Age 31 - 45 | $250.00 | ||
| Age 46 - 60 | $200.00 | ||
| Over 60 years | $150.00 |
PLYMOUTH 1620
Maine
Society of Mayflower Descendants
ORGANIZED SEPTEMBER 1901
Date_________________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Please Print Name)
PRELIMINARY APPLICATION
Signature of Applicant
Mr.
Mrs.
Miss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Autograph signature required)
Occupation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(or name of husband)
Mailing Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Zip Code +4
Residence (if different) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nominated by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Autograph signature of a Maine Member required) State No.
Seconded by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Autograph signature of a Maine Member required) State No.
Name of Mayflower Ancestor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Approved by Board of Assistants
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Secretary
(See Information on other side)