TELL US ABOUT YOURSELF
YOUR NAME ____________________________ DATE OF BIRTH ____________________________ PLACE OF BIRTH ____________________________ MARRIED? _________ DATE OF MARRIAGE ____________________________ PLACE OF MARRIAGE ____________________________ SPOUSES NAME ____________________________ SPOUSES DATE OF BIRTH ____________________________ SPOUSES PLACE OF BIRTH ____________________________ IS YOUR SPOUSE STILL LIVING? _________ DATE OF DEATH ____________________________ PLACE OF DEATH ____________________________ PLACE OF BURIAL ____________________________ SPOUSES PARENTS NAMES _____________________________ _____________________________ |
TELL US ABOUT YOUR PARENTS
(Start with Wing parent first) PARENTS NAME _____________________________ DATE OF BIRTH _____________________________ PLACE OF BIRTH _____________________________ DECEASED? ___________ DATE OF DEATH _____________________________ PLACE OF DEATH _____________________________ PLACE OF BURIAL _____________________________ DATE OF MARRIAGE _____________________________ PLACE OF MARRIAGE _____________________________ NAME OF SPOUSE _____________________________ SPOUSES DATE OF BIRTH _____________________________ SPOUSES PLACE OF BIRTH _____________________________ IS SPOUSE DECEASED? ____________ DATE OF DEATH ______________________________ PLACE OF DEATH ______________________________ PLACE OF BURIAL ______________________________ CHILD OF _______________________________ _______________________________ |
GRANDPARENTS
Start with Wing grandparent first and list their marriages below GRANDPARENTS NAME____________________________________ DATE OF BIRTH________________________________________ PLACE OF BIRTH_______________________________________ DATE OF DEATH________________________________________ PLACE OF DEATH_______________________________________ PLACE OF BURIAL______________________________________ DATE OF MARRIAGE_____________________________________ PLACE OF MARRIAGE____________________________________ NAME OF SPOUSE_______________________________________ SPOUSES DATE OF BIRTH________________________________ PLACE OF BIRTH_______________________________________ DATE OF DEATH________________________________________ PLACE OF DEATH_______________________________________ PLACE OF BUIAL_______________________________________ CHILD OF ____________________________________________ _____________________________________________________ |
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). ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ MY CHILDREN ARE: (please list births, deaths, marriages and spouses as well as any other marriages you may have had). ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ _____________________________________________________________________________________________________ MY BROTHERS AND SISTERS ARE: (please list births, deaths, marriages and spouses to the extent that you are able). ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ _______________________________________________________________________________________________________ ________________________________________________________________________________________________________ MY WING AUNTS AND UNCLES (Also list your grandparents other marriages if there were any). _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ MY GRANDPARENT'S BROTHERS AND SISTERS (also list your great-granparents other marriage if any). _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Include any additional information: |
MEMBERSHIP FEES (Payable in U.S. Dollars only)
ANNUAL MEMBERSHIP DUES (INCLUDES SUBSCRIPTION TO THE OWL) $25.00 REGULAR MEMBERSHIP $35.00 SUSTAINING MEMBERSHIP (INCLUDES A DONATION FOR THE WING FORT HOUSE MAINTENANCE) $300.00 LIFETIME MEMBERSHIP IN ADDITION TO THESE DUES, THERE IS A ONE TIME REGISTRATION FEE OF $5.00 IN ALL CATEGORIES MAKE CHECK OR MONEY ORDER PAYABLE TO: WING FAMILY OF AMERICA, INC. MAIL YOUR CHECK AND THIS APPLICATION TO: TONI NASH CORRESPONDING SECRETARY 476 ASH AVENUE DECATUR, ILLINOIS 62526 AMOUNT ENCLOSED (PLEAE CHECK ONE) [ ] $30.00 [ ] $40.00 [ ] $305.00 [ ] OTHER YOUR ADRESS: NAME (AS YOU WOULD LIKE YOUR MAIL ADDRESSED)___________________________________________________________ STREET ADDRESS________________________________________________________ CITY, STATE, ZIP_______________________________________________________ TELEPHONE (INCLUDING AREA CODE)________________________________________ E-MAIL_________________________________________ HOW DID YOU HEAR ABOUT THE WING FAMILY OF AMERICA, INC.? [ ] FAMILY MEMBER [ ] WFA WEBSITE [ ] OTHER INTERNET SITE [ ] GENEALOGICAL RESEARCH [ ] OTHER_________________________________________________________________________ |