Preliminary Membership Application
Myles
Standish Society
Susan
Abanor
or
Edward Myles Standish
218 Tolland Tpke
Willington, CT 06279
PRELIMINARY
MEMBERSHIP APPLICATION
Date _____________________________
Applicant (print) ____________________________________Date of Birth __________
Signature of Applicant _______________________________
Spouse (if applicable) ________________________________Date of Birth __________
Add my spouse once I am accepted (application fee is waved) ____Yes ____ No
Residence _______________________________________________________________
________________________________________________________________________
Seasonal Residence (place indicated dates) _____________________________________
________________________________________________________________________
Telephone Number _____________________ E-mail address ______________________
Occupation ______________________________________________________________
How did you learn about the Hopkins Heritage?
· Relative (Name) ______________________________________________
· Another Society (name) ________________________________________
· Mayflower Quarterly __________________________________________
· Other (please explain) _________________________________________
Please return this Preliminary Application and Synopsis of your Hopkins Descent Line to the above address.