Membership Application
Junkins Family Association
APPLICATION FOR MEMBERSHIP
Membership in the Junkins Family Association is open to anyone who has an interest in the purposes of the association. Descendants of Robert Junkins (1621-1699) and his wife, Sarah Smyth (1645-1718) are particularly welcome.
Name:
Spouse's Name:
Children's (Living at Home) Name(s):
Address:
City:
State:
Zip:
Phone No.:
E-mail Address:
[ ] | $10 Individual | [ ] | $35 Contributing |
[ ] | $15 Family | [ ] | $75 Sustaining |
Archaeological Dig Fund Donation | $ | ||
Total Enclosed | $ |
Please mail your check or money order to:
THE JUNKINS FAMILY ASSOCIATIONAnn H. Cheney, Vice President
4 Gooseberry Lane
Niantic, CT 06357