People's names in several cultures include one or more additional names placed between the first given name and the surname. Middle names can be either given names (as in Anthony Michael Hall) or surnames (as in George Walker Bush). In some English speaking countries such names are specifically referred to as middle name(s); in most European countries they would simply be regarded as second, third, etc. given names. In some countries there is usually only one middle name, and in the United States it is often abbreviated to the middle initial (e.g. Mary Lee Bianchi becomes Mary L. Bianchi, which is usually standard for signatures) or omitted entirely in everyday use (e.g. just Mary Bianchi). In the United Kingdom she would usually be referred to either as Mary Bianchi, M. L. Bianchi or Mary Lee Bianchi, or she may choose Lee Bianchi, and informally there may be familiar shortenings. An individual may have more than one given name, or none. In some other countries, the term middle name is only used for names that are originally last names, but not part of the last name of the bearer (for instance one can have one's mother's maiden name as a middle name).