If you chose the “I would like to become a member and I have a close family member who was a member of the Mayflower Society” option, please fill out the form below: Close Relative Documentation Section 1: Applicant InformationName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number(Required)Email(Required) Section 2: Family Member InformationFamily Member Name(Required)Family Member's GSMD Number (if known)Which state society is/was your family member in?AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificFamily Member’s State Number (if known)Relationship to you(Required) Parent Child Grandparent Grandchild Sibling Cousin Uncle/Aunt Niece/Nephew Other close relative Add more detail if neededSection 3: Lineage Information Instructions: List the lineage from the Mayflower passenger to yourself. Helpful hints: The line carrier should be on the left, spouse on the right Include maiden names when known The last person on the list should be yourself (on the left) Connect through the approved family member if possible Mayflower PassengerJohn AldenBartholomew AllertonIsaac AllertonMary (Noris) AllertonMary AllertonRemember AllertonElinor BillingtonFrancis BillingtonJohn BillingtonWilliam BradfordLove BrewsterMary ( ) BrewsterWilliam BrewsterPeter BrowneJames ChiltonMrs. James ChiltonMary ChiltonFrancis CookeJohn CookeEdward DotyFrancis EatonSamuel EatonSarah ( ) EatonMoses FletcherEdward FullerMrs. Edward FullerSamuel FullerSamuel Fuller (son of Edward)Constance HopkinsElizabeth (Fisher) HopkinsGiles HopkinsStephen HopkinsJohn HowlandRichard MorePriscilla MullinsWilliam MullinsDegory PriestJoseph RogersThomas RogersHenry SamsonGeorge SouleMyles StandishElizabeth TilleyJohn TilleyJoan (Hurst) TilleyRichard WarrenPeregrine WhiteResolved WhiteSusanna (Jackson) WhiteWilliam WhiteEdward Winslow2nd GenerationMarried3rd GenerationMarried4th GenerationMarried5th GenerationMarried6th GenerationMarried7th GenerationMarried8th GenerationMarried9th GenerationMarried10th GenerationMarried11th GenerationMarried12th GenerationMarried13th GenerationMarried14th GenerationMarried15th GenerationMarried16th GenerationMarriedSection 4: CertificationsCertification #1(Required) I understand that having an approved family member does not guarantee reduced documentation requirements due to current genealogical standards Certification #2(Required) I understand that the NY historians can provide guidance and not genealogical support Certification #3(Required) I understand that I will be expected to find missing documentation (if needed) Certification #4(Required) I understand that the approvals process can take 4-6 months after submission to Plymouth Δ