Appendix of Forms

Certificate of Transfer Acceptance of Transfer Meeting Membership Record

Information and Instructions on Final Affairs






 

North Pacific Yearly Meeting Certificate of Transfer

To Monthly Meeting of Friends Dear Friends:

[name/s] , [a member/members] of this Monthly Meeting, having moved with [his/her/their] minor [child/ children], [name/s] , [has/have] requested a transfer of membership to your meeting. Consideration has been given to this and there appears to be no obstruction to granting the request. We therefore recommend [him/her/them] to your loving care and remain, in love, your friends.

Signed on behalf of Monthly Meeting of Friends, held at [location] on , 20 .


Clerk

A copy of the transferring member’s membership record may accompany this certificate of transfer.





North Pacific Yearly Meeting Acceptance of Transfer

To Monthly Meeting of Friends Dear Friends:

We have received your Certificate of Transfer dated , 20 , and have accepted [name/s] into membership with us.

Signed on behalf of Monthly Meeting of Friends, held at [location] on , 20 .


Clerk


 

Meeting Membership Record


Member’s full name

(give birth name in parenthesis, if different)


Date of birth Place of birth

(month, day, year) (city, state, country)


Admitted to membership Date

(month, day, year)

Admitted by means of:

Convincement ¨ Certificate of transfer from:




Parents

(monthly meeting, city, state, country)

Father's name Mother's birth name


Addresses

Years Mailing address: street / city / state / zip code









Removed from membership Date

(month, day, year)


Membership ended through:

Death* ¨ Release from the Society ¨ Certificate of transfer to:


(monthly meeting, city, state, country)

(continued)

Service history and other notes










Marriage or committed relationship

Date Place

(month, day, year) (city, state, country)

Partner a member of the Religious Society of Friends? ¨ No ¨ Yes:


(monthly meeting, city, state, country)

Relationship under care of a Friends Meeting? ¨ No ¨ Yes:



(monthly meeting, city, state, country)

Relationship ended by: ¨ Death ¨ Divorce Date:



(month, day, year)

Notes:


Date Place

(month, day, year) (city, state, country)

Partner a member of the Religious Society of Friends? ¨ No ¨ Yes:


(monthly meeting, city, state, country)

Relationship under care of a Friends Meeting? ¨ No ¨ Yes:



(monthly meeting, city, state, country)

Relationship ended by: ¨ Death ¨ Divorce Date:



(month, day, year)

Notes:

(continued)

Children

  1. Name

Date of birth Place of birth

(month, day, year) (city, state, country)

Date of marriage Partner's name

Member of the Religious Society of Friends? ¨ No ¨ Yes:


(monthly meeting, city, state, country)

Notes:




  1. Name

Date of birth Place of birth

(month, day, year) (city, state, country)

Date of marriage Partner's name

Member of the Religious Society of Friends? ¨ No ¨ Yes:


(monthly meeting, city, state, country)

Notes:




  1. Name

Date of birth Place of birth

(month, day, year) (city, state, country)

Date of marriage Partner's name

Member of the Religious Society of Friends? ¨ No ¨ Yes:


(monthly meeting, city, state, country)

Notes:





(Attach additional pages as necessary.)

 

Information and Instructions on Final Affairs



Name

Date

Address

Soc. Sec. No.

Meeting

I request tht the Religious Society of Friends carry out the following upon my death:

The information below may help the Religious Society of Friends carry out any wishes:

1. Persons to notify immediately (next of kin, local contacts, executor, etc.) Use back of form for additional names.

Name

Name

Address

Address

Telephone

Telephone

Relationship

Relationship

2. Member of Memorial Society? ¨ No ¨ Yes

Name

Address

Telephone

3. Diposal of body: ¨ Burial ¨ Cremation ¨ Medical or scientific uses (describe)

If cremation, wishes for disposal of ashes

If burial, preferred cemetery

  • Common plot

  • Family plot

Plot designation

Location of deed

Location of release papers

Preferred undertaker

4. Burial insurance:

Company

Policy #

If there is no insurance, expenses will be met as follows:


5. Services desired (include pertinent details; use back of form if needed)

Memorial meeting for worship ¨ Funeral ¨ Other (describe)

Special requests

6. Flowers will be accepted ¨ No ¨ Yes; where:

In lieu of flowers, contributions may be made to:

7. Special instructions of death occurs far from home

8. Location of will

Location of insurance policies

9. Instructions for care of minor children if there is no surviving parent

10. Information for death certificate (must agree with legal records and policies)

Full legal name

Current address

Date of birth

Birthplace

Citizenship

Occupation

Present employer

Employer's address

Father's full name

Mother's maiden name

Signature

Received for meeting by