Applicant

I request that I and my minor children be accepted as members of the

Métis Eastern Tribal Indian Society of Maine and be registered under the

charter and by-laws of the Métis of Maine.

Surname_____________________ Maiden Name______________________

First Name___________________ Middle Name or Initial________________

Mailing address_________________________________________________

Town_______________________State__________Zip_________________

E-Mail address _________________________________________________

Tel ______-_______-______ Birthplace______________________________

Date of Birth _____/_____/_____  Height_________ Weight____________

Color of Eyes ________________

Please provide a copy of your birth certificate.

Please list all children under the age of 15 and provide a copy of their birth certificate

if you are enrolling them for membership.

Date of Birth  Surname      Middle         First     Height        Weight     Eye Color

____/___/____ __________________________________________________

____/___/____ _________________________________________________

____/___/____ __________________________________________________

____/___/____ __________________________________________________

____/___/____ __________________________________________________

____/___/____ __________________________________________________

Genealogical References

Please provide all genealogical papers showing your lineage to someone with

a American Indigenous connection or to someone who is a Métis with a direct

connection to your family line.

List of genealogical references or attach genealogy papers to application.

 _______________________________________________________________

 _______________________________________________________________

 _______________________________________________________________

 _______________________________________________________________

 _______________________________________________________________

 _______________________________________________________________

 _______________________________________________________________

We will provide you with a membership card and enroll you as a member of the

Métis Eastern Tribal Indian Society of Maine if all requirements are met.

Falsification of documents will result in immediate termination of membership.

There is a one time fee of $10.00 to cover costs for members 16 years and older.

There is a one time fee of $5.00 for ages 4 years through 15 years, children 3 years

and younger are free.

Applicant Signature ______________________________ date ____/____/_____

Mail to: Métis of Maine

13 Lombard Hill Rd.

Limerick ME 04048

Elder's Meditation of the Day