A child between the ages of birth through age eighteen may become a Junior Member by being sponsored by a GSMD relative in the direct line. Lineage does not have to be proven for the Junior; however,
the sponsor must have a proven lineage and fill out the application as the sponsor. The sponsor must include their GSMD and state number along with the sponsors ancestor.
Make checks payable to: The Georgia Mayflower Society for the amount of $40.00. Please write the name of the Junior Member in the memo line with the term Junior Member.
Send check and application to: Peggy McCall, Georgia Mayflower Education Chair
165 Trails End Summit
Ellijay, GA 30540
(PRINT CLEARLY)
NAME OF SPONSOR: _______________________________________________________________________
ADDRESS: _____________________________________________________________
_____________________________________________________________________
____________________________________________________________________
STATE and STATE NUMBER: _____________________________ GENERAL NUMBER: ___________________
SPONSORS TELEPHONE NUMBER: _____________________________________________
SPONSORS EMAIL ADDRESS: ___________________________________________________________________
NAME OF JUNIOR MEMBER: _____________________________________________________________________
CIRCLE ONE: MALE FEMALE
ADDRESS OF JUNIOR MEMBER: __________________________________________________________________
_________________________________________________________________________
_______________________
EMAIL ADDRESS OF JUNIOR MEMBER OR THEIR PARENT: _________________________________________
BIRTHDATE OF JUNIOR: (month, day, year) _________________________________________________________
GRANDFATHERS NAME IN MAYFLOWER LINEAGE: _______________________________________________
GRANDFATHERS BIRTHDATE AND PLACE: _______________________________________________________
GRANDMOTHERS NAME IN MAYFLOWER LINEAGE: ______________________________________________
GRANDMOTHERS BIRTHDATE AND PLACE: ______________________________________________________
GRANDPARENTS MARRIAGE PLACE: ____________________________________________________________
GRANDPARENTS MARRIAGE DATE: _____________________________________________________________
PROVEN MAYFLOWER PASSENGER(S): ______________________________________________________________________
SPONSORS SIGNATURE: (I hereby confirm the above to be correct.)
________________________________________________________
Sponsor, Please check one of the following.
□ This is a gift. Please send your welcome package and membership pin to me as the sponsor.
□ Please send the welcome package and membership pin directly to my Junior Member.