Application for Membership in Methodist Cemetery Association
ONE PERSON PER APPLICATION
Those fields in red italics are required
Prefix:
Mr.
Mrs.
Miss
Ms.
Master
Dr.
Rev.
First Name:
Middle Name or Initial:
Last Name:
Suffix:
Sr.
Jr.
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Street Address:
Apartment Number:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
-
Telephone Number:
(
)
-
E-mail:
Do you want use U.S. mail in place of e-mail?
Yes
No
Are you 18 years or older?
Yes
No
Please indicate which type of membership you want:
Annual
($50.00)
Lifetime
($500.00)
Donation: $
.
Make checks payable to: Methodist Cemetery Association
Mail to: 1896 Milboro Drive
Rockville, Maryland 20854
NOTE: Membership dues(both types) and donations are tax-deductable.
Note:
If you have a deceased spouse that had relations among those interred in this cemetery, and you were married at the time of death, then please check all of those relations.
Please check all families that you are related to:
Amberer
Anderson
Askins
Bargheusen
Barnes
Bates
Beach
Blincoe
Bock
Bowers
Brewer
Brooke
Brown
Buckman
Burdette
Burgee
Burke
Burroughs
Burrows
Carter
Chappell
Collins
Conner
Conover
Conrad
Cornell
Deakines
Dean
Degges
Donaldson
Duvall
Dykes
Eld
Ernest
Federline
Fisher
Fowler
Frisbe
Gantt
Greaves
Grigsby
Hall
Harding
Harriss
Harry
Henley
Holson
Hormon
Houser
Howard
Huddleson
Hurdle
Imlay
Johnson
Kidwell
King
Levis
Lewis
Lucas
Main
Mattingly
McIntosh
Moore
Morgan
Nichols
O'Neale
Patterson
Paxton
Pearson
Perna
Perry
Pfander
Pervis
Queen
Quinlan
Rackey
Ricketts
Riley
Rittue
Robey
Rowe
Sherwood
Shoemaker
Skinner
Smith
Starr
Stauff
Streeks
Swonger
Thomas
Thompson
Titus
Turner
Walker
Walther
Ward
White
Williams
Wolford
Woodbury
NOTE: A list of those buried without markers originally is available in
The District of Columbia Genealogical Records Report for 1940
at the D.A.R.library.
Do you have any photographs of those buried here you would like to share?
Yes
No
Do you have any historical documents regarding the cemetery you would like to share?
Yes
No
By sharing, we mean that you will allow a copy of said item(s) to be made.
Revised June 25, 2010