Morse Society Application - New Membership
TIP: Complete this form on screen before printing it.

Name:

Address:

City:

State: Zip+4: + Province: Postcode:

Phone: Email:

Email me when each newsletter is available on the website and don't mail me the paper copy.
I am interested in volunteering with the Morse Society.  My specific areas of interest:

My Genealogical Information:

Birth Date:  Place: 

Marriage Date:  Place: 

Spouse's Name:

Birth Date:  Place: 

Other Information:

My Parent's Genealogical Information:

Father's Name: 

Birth Date:  Place: 

Marriage Date:  Place: 

Death Date:  Place: 

Mother's Name:

Birth Date:  Place: 

Death Date:  Place: 

Other Information:

My Morse line Grandparent's Genealogical Information:

Grandfather's Name: 

Birth Date:  Place: 

Marriage Date:  Place: 

Death Date:  Place: 

Grandmother's Name:

Birth Date:  Place: 

Death Date:  Place: 

Other Information:

My Morse line Great-Grandparent's Genealogical Information:

Great-Grandfather's Name: 

Birth Date:  Place: 

Marriage Date:  Place: 

Death Date:  Place: 

Great-Grandmother's Name:

Birth Date:  Place: 

Death Date:  Place: 

Other Information:

My oldest known Morse ancestor(s) in America:
 Anthony Morse
(d. 1686, MA)		  Samuel Morse
(d. 1654, MA)		  John Moss
(d. 1707, CT)
 William Morse
(d, 1683, MA)		  Joseph Morse
(d. 1646, MA)		  Unknown
 Other: 
Please enroll me in the Morse Society for:  1 year  2 years 3 years
  Dues (per year): $20 U.S. $22.50 Canada $25 overseas
I would like to make an additional donation of:
Total Payment:
I enclose my check in US funds payable to THE MORSE SOCIETY.
Charge my credit card: Expiration:
Acct. No.  Name (as printed on card): 

Signature _______________________________ Date __________

I have read the Morse Society's Privacy Policy.
(Must be checked to activate print button.)

Mail completed order form to:
The Morse Society
Kathie Halvey (Secretary), 3 Poplar Road, Beacon NY 12508-1552