Mayflower Society Of Alaska

Fill out and send to the Society in the state of your choice.
They will evaluate your lineage and respond with instructions about formal application procedures.

Date:

Phone:

Name:
Address:
E-Mail Address:

1. Name of your Mayflower Pilgrim Ancestor:

2. Son/Daughter:		Married:
3. Son/Daughter:		Married:
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:
12. Son/Daughter:		Married:
13. Son/Daughter:		Married:
14. Son/Daughter:		Married:
15. Son/Daughter:		Married:

Your name should be last.

Make a copy for yourself and send in this
preliminary review along with a legal size self-addressed
stamped-envelope.

To J.Seitz 11521 Upper Sunny Circle Eagle River, Alaska 99577-7414

Or you may email to: jsseitz@alaska.com

Memberships are handled through
individual state societies.

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