Francis Cooke Society (FCS)

Application for Membership

APPLICANT INFORMATION

Last Name :

First :

Middle :

Maiden :

Current address :

City :

State :

ZIP Code :

Phone :

Email :

Occupation :

MEMBER OF THE GENERAL SOCIETY OF MAYFLOWER DESCENDANTS

Yes

No

Pending

Not At This Time

Ancestor :

General # :

State # :

PARTICULAR AREA OF INTEREST-CHECK ALL THAT APPLY

General Membership

Newsletter Publication

Publicity Help

Website Administration

Charter Formulation

Development of Bylaws

Volunteer to Help

Offer Genealogical Advice

Possibly Act as Office or on Board of Directors

Other :

Suggestions :

HOW DID YOU LEARN ABOUT OUR GROUP

Internet Search

Source :

Website Link

Website Name

FCS Listing - Genealogy Publication

Publication Listing

Other :

FRANCIS COOKE DESCENDANTS

Gen

Line Holder/Son/Daughter

Married Wife/Husband

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

WEBSITE PUBLICATION OF YOUR INFORMATION

Yes, Post Names Down To Grandparents

Yes, Post Names Down To Parents

Yes, Post All Information Including Name

Yes, You May Include My Email Address

No, Do Not Post ANY Information On The Web

No, Do Not Share My Email Address With Other Members

Signatures

I give permission to the Francis Cooke Society to include this information in the 6th & 7th Francis Cooke Generation Project should it meet all restrictions and complete information as set up by the Francis Cooke Society. We will base it on your website preference indicated above

Signature of Applicant

Date :