National Society No.
State Society No.
State of
Application of Membership

to

The Society of

The Sons and Daughters of the Pilgrims

(Organized December 21, 1908, by Thomas W. Bicknell.)

ALL APPLICATIONS MUST BE TYPED – NO CARBONS

Name of Applicant
Residence / Zip
Descendent of

Application Examined And Approved by:

State Registrar
Date
Residence
National Registrar
Date
Residence

Nominated and recommended by the two undersigned members of the Society in good standing, to whom the applicant is personally known.

Endorsed in Handwriting by

Name / Name
Residence / Residence
Last Revised on June 7, 2005 / Property of National Society Sons & Daughters of the Pilgrims

ALL APPLICATIONS MUST BE TYPED

Application for Membership

I,
married to / on / in
hereby apply for membership in THE SOCIETY OF THE SONS AND DAUGHTERS OF THE PILGRIMS by right
of descent from / who settled in this country before 1700
born on / in
died on / in

(Please give all dates by day, month and year, and given names in full.)

1. / I was born on / in
County of / State of
2. / I am the / SonDaughter / of / born in
on / , died in / on
and / his wife, born in / on
died in / on / married in
on
3. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
4. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
5. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
6. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
7. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
8. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
9. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
10. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
11. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
12. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
13. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
14. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
15. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
16. / The said / was the / SonDaughter / of
born in / on / died in
on / , and / his wife, born in
on / , died in / on
married in / on
Signature of Applicant
Street / City / Zip
County / State

Permission is given for others to use information from this application (check one): Yes No


Give below a reference to authority for EACH statement of Birth, Legal Marriage, Cemetery, Tombstone Records or Death Certificates. If from published records, give names of Books, Author, Volume and Page. If from unpublished records, applicant must file duplicate certified copies or Photostats of same.

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16

Give, if possible, the following: My Colonial ancestor was married

(1) / to / on / in
(2) / to / on / in
(3) / to / on / in

CHILDREN OF COLONIAL ANCESTOR

(By each marriage, if married more than once.)

NAMES / DATES OF BIRTH / TO WHOM MARRIED
(1)
(2)
(3)
(4)
(5)
(6)
Last Revised on June 7, 2005 / Property of National Society Sons & Daughters of the Pilgrims