SAMPLE Wing Family of America, Incorporated

Application for Membership

We shall be pleased to receive your application for membership in the Wing Family of America. If you are a Wing descendant (or a spouse or adopted child of a Wing descendant), you are eligible to join us.

APPLICANT INFORMATION

Date of application _30 February 1902___

Please print or type, and provide us with as much information as you are able. Please feel free to submit information in alternative formats (i.e. from genealogy program, Family Group or Pedigree Charts, etc.)

Yourself (Please list other marriages under your brothers & sisters below)
___Col. George Washington Wing_____ b. __1 September 1856__________ at __Chilton, Wisconsin_________ m. ___21 June 1883_______ at __West Kewaunee, Wisconsin_____ to ____Isabel Elizabeth Dikeman________ b. __20 April 1859__________ at __Kewaunee, Wisconsin_____________ d. __9 June 1936________________
at __Fort Madison, Iowa_________________ bur. _Riverside Public Cemetery, West Kewaunee, Wisconsin__ child of ___Charles Wakeman Dikeman___________ & __Margaret Elizabeth Walters_____

Parents (list the parent who descends from the Wing family first. Also list their other marriages below)
__Rufus Leander Wing_______________ b. __1 August 1832__________ at ___Marshall, New York_________ d. __1 March 1889____________ at __Kewaunee, Wisconsin________ bur. Riverside Cem., W. Kewaunee, Wisc.
m. __16 September 1855______ at __Gravesville, Wisconsin_____ to __Mary Elizabeth Elliott_______________ b. __17 September 1833______ at __Martinsburg, New York______________ d. __31 January 1916__________
at __Kewaunee, Wisconsin_________________ bur. _ Riverside Public Cemetery, West Kewaunee, Wisconsin __ child of ___George W Elliott_______________ & __Juliana Crofoot_________________________

Grandparents (who descends from the Wing family and list their other marriages below)
___James Wing_____________________ b. _______________1807_____ at __White Creek, New York_______ d. __19 December 1892________ at __Scholl’s Ferry, Oregon_______ bur. _____________________________
m. _______________1827____ at __Marshall, New York___________ to __Mary Sweet__________________ b. ___about 1806_____________ at __Coeymans, New York______________ d. _____March 1877__________
at __Blue Mound, Missouri________________ bur. ________________________________________________ child of ___Benjamin Sweet________________________ & ___Hannah Stanton_________________
I believe my lineage to Rev. John Wing and his wife, Deborah Bachiler, continues as follows: (If you do not know your line, please go back as far as you can)
__William Wing, John, Jabez (m. Anna Hoxie Wing), John, John, Daniel, Rev. John________________
also: Anna Hoxie Wing, Joseph, Jashub, Daniel, Rev. John_________________________________ ______________________________________________________________________________________________________________________________________________________________________

My children are: (Please list births, deaths, marriages and spouses as well as your other marriages)
1) _Col. George Dikeman Wing b. 8 JAN 1887 Racine, Wisc. d. 25 DEC 1957 Bradenton, FL m. (1) 26 DEC 1912 Mobile Ala. To Zoe Belle SEABROOK (div) m (2) 9 SEP 1934 Burlington, Iowa to Bessie OVERHOLT Douglas._________________________________________________________________
2) Grace Winifred Wing b. 22 FEB 1892 Kewaunee, Wisc. d. 7 AUG 1975 Torrance, CA m. 22 DEC 1917 Kewaunee, Wisc. to Harold Douglas Barnes___________________________________________
3) Charles Rufus Wing b. 14 OCT 1896 Kewaunee, Wisc. d. 15 MAY 1969 Kewaunee Wisc., m. 7 JUL 1920 to Bertha Trottman_______________________________________________________________

My brothers and sisters are: (see above as well as list your parents other marriages)
____DeWayne S. Wing born 20 JUN 1867 Ahnapee, Wisc.; died 9 FEB 1868 Ahnapee, Wisc.________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

My Wing aunts and uncles: (also list your grandparents other marriages)
__1) Ebenezer Wing b. 18 MAY 1829 Marshall, NY; d. 20 AUG 1910 Appleton, Wisc; m. 1 JUL 1848 Brotherton Wisc. to Julia Ann Pease b. 15 MAR 1827 NY d. 27 JAN 1909 Appleton Wisc.____________
2) Louisa Wing b. 25 DEC 1834 Marshall, NY; d. SEP 1897 Avalon, Missouri; m. Nathan Eastman b. 1819______
3) Sarah Wing b. 25 MAY 1838 Marshall, NY d. 3 DEC 1914 Scholl’s Ferry, Ore.; m. 23 JAN 1860 Gravesville, Wisc. Judge William A. Prosser b. 6 JUL 1837 Smithfield, NY d. after 1914______________
4) Eunice Wing b. 19 AUG 1839 Kirkland, NY d. 3 JAN 1893 Scholl’s Ferry, Ore.; m. 1867 NY to Eber J. Groat b. APR 1843 NY d. aft 1900_______________________________________________________
5) James Wing b. 2 MAR 1841 Kirkland, NY d. 7 MAY 1923 Appleton, Wisc.; m. 1 JAN 1867 Calumet, Wisc. to Priscilla Blount b. 30 DEC 1847 Charlottown, PEI d. 13 OCT 1935 Waupaca, Wisc__________
6) Hannah Wing b. 2 MAR 1842 Kirkland, NY d. 4 AUG 1935 Overland Park, Kansas; m. 3 MAR 1863 Fond Du Lac, Wisc. to Henry Harrison Prosser b. 25 SEP 1840 NY d 3 JUL 1923 Overland Park, KS___

My grandparent’s brothers and sisters: (also list your great-grandparents other marriages)
1) Buffam Wing b. 1794 Shaftsbury, VT d. 14 APR 1865 Marshall, NY m. ca 1815 Hannah Woods_____
2) Sarah Wing b. 1796 d. bef 1893 m. Reuben Blowers_______________________________________
3) Joshua Wing b. 1798________________________________________________________________
4) Huldah Wing b. ca 1801 d. after JAN 1893 m. Andrew Blowers_______________________________
5) Osborne Wing b. 1803 NY d. 1880 Humphrey, NY m. Malinda Blowers_________________________
6) Mary_Wing b. 10 AUG 1810 White Creek, NY m. Lyman Bracy_______________________________
7) Sylvester Wing b. 1812 White Creek, NY d. 26 NOV 1858 New Haven, NY m. Harriet Seeley_______
8) Asa Smith Wing b. 18 NOV 1815 Sangerfield, NY d. 15 MAY 1854 Mexico, NY m. 11 SEP 1843 Caroline Matilda Mitchell_______________________________________________________________

Membership FEES (Payable in U.S. Dollars only)
Annual membership dues (includes subscription to The Owl)
$25 Regular Membership
$35 Sustaining Membership (includes a donation for the Wing Fort House maintenance)

$300 Life Membership

In addition to these dues, there is a one time registration fee of $5 in all categories

Make check or money order payable to WING FAMILY OF AMERICA, INC. and mail with this application to:

Judy Pierson
Corresponding Secretary
7007 Elmbrook Drive
Ft. Wayne, IN 46835

AMOUNT ENCLOSED (please check one):
[ ] $30.00 [ ] $40.00 [ ] $305.00 [ X ] Other: __$$$$________

YOUR ADDRESS:
Name (as you would like your mail to be addressed): __Col. George W. Wing______________________
Street: _The Owlery, ________________________________________________________________
City, State Zip: __Kewaunee, Wisconsin 54216____________________________________________
Telephone (including Area Code): ______________________________________________________
e-mail: __________________________________________________________________________

How did you hear about the Wing Family of America, Inc?
Family member [ X]
WFA website [ ]
Other internet sites [ ]
Genealogical Research [ X]
Other [ ] _________________________________________________________________________