Supplemental Application

  • MM slash DD slash YYYY
  • Names of Relatives who were/are Members, GS & State #'s of the Mayflower Society in New York or any other Society. This information will be helpful in filling out your lineage from, but is not required.
  • Signature
  • Date of Sumittal
  • Please include $150.00 payment for the application fee.

    The application fee is not refundable if the line is rejected, the application is rejected, or if the applicant fails to complete the documentation.

    Complete the form, print and mail to:

    The Society of Mayflower Descendants in the State of NY

    20 West 44th Street

    New York, NY 10036-6603

  • This field is for validation purposes and should be left unchanged.