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The Alden Kindred of America,
Inc. / Alden House Historic Site Date
____________________________ Name (print clearly):
___________________________________________________________________ First Middle
Maiden
Last Business
Name_______________________________________________________________________ Your Occupation
_____________________________________________________________________ Spouse’s Name (print clearly):
____________________________________________________________ (If Applicable) First Middle
Maiden
Last Spouse’s Occupation __________________________________________________________________ Your Date of Birth___________________________ Spouse’s Date of Birth
________________________ Residence___________________________________________________________________________ Seasonal Residence (please indicate dates):
__________________________________________________ Telephone Number __________________________E-mail address
_______________________________ Child’s
Name________________________________________________________ DOB____________ (If Applicable) First Middle Last Child’s
Name________________________________________________________ DOB____________ Child’s
Name________________________________________________________ DOB_____________ How did you learn about the Alden Kindred?
Signature of Applicant ____________________________________________________________________ 5
I am interested in becoming a Lineage member. My synopsis and
additional application fee are enclosed. To join, print and complete this application and send it
with your check or money order (payable to the Alden Kindred of America,
Inc.) to Alden House Historic Site,
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