MARTIN CEMETERY ASSOCIATION

MEMBER REGISTRATION & DONATION FORM

(Heads of Household, Age 18 or older; One vote per household)

NAME:  
SPOUSE'S NAME:  
ADDRESS:  
CITY:   STATE:   ZIP:  
CELL PHONE:   HOME PHONE:  
EMAIL:  

Your 2008 Martin Cemetery Association Member donation: $ _______________
(Attached check or cash to registration form)

Mail Registration Form to: Martin Cemetery Fund - Attention: Nancy Hutchins - P.O. Box 158 -Lipan, Texas 76462

You are a bloodline descendant or spouse of a bloodline descendent of which of the following family lines listed below prior to 1921:

(3) Adams (1896)   (2) Anderson (1894)  
(1) Brown (1896)   (1) Foster (1898)  
(1) Gunter (1890)   (4) Helms (1883)  
(2) Hestand (1918)   (6) Holt (1860)  
(1) Lee (1915)   (2) Makamson (1894)  
(7) Martin (1884)   (3) Miller (1902)  
(1) Millington (1899)   (1) Pilkington (1920)  
(4) Raifsnyder (1895)   (2) Rhodes (1884)  
(10) Self (1868)   (1) Snelson (1886)  
(1) Sparks (1873)   (1) Spencer (1920)  
(1) Thompson (1899)   (1) Wells (1906)  
(2) Yancy (1908)      

Do you or any of your family members plan on being buried here? ___________

 

   

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