The Florida Society of Mayflower Descendants

Synopsis of Lineage for Possible Membership

Please fill in the Line Carrier and Spouse fields in the form below, starting with the Mayflower Passenger and showing each generation including yourself. Use your mouse or the tab key to move from field to field. After you have successfully submitted the form, you will be returned to the Florida Mayflower home page.

In order to respond to you in a timely manner, we must have your contact information. Therefore, failure to fill in the first name, last name or email fields will result in a rejected form. You can return and resubmit another (complete) form.

Let us know if there has been any member of your family who has been a member of the Society in any state. (Include State number plus General Number if known in the comments section). The Colony Historian in whose jurisdiction you reside will contact you and help with documentation, questions, fees and dues required for membership.

Date:

*First Name: *Last Name:

*Email:

*Phone:

Street Address:

City/State/Zip:

Check here if you have a family member who has been accepted into the Mayflower Society.

  1. Name of your Pilgrim ancestor: A-H: I-Z:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter: Spouse:
  1. Son/Daughter: Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter: Spouse:
  1. Son/Daughter:Spouse:
  1. Son/Daughter: Spouse:

Your name should be the last one entered.

If you have any comments or questions, enter them below.

Please complete this form, attach it an email and send to

Muriel Cushing at .

If you complete this on a public pc, remember to delete the file so others cannot have access to your information.

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