geneologyform

                                   GENEALOGY RESEARCH REQUEST FORM

1. WHAT YOU already KNOW about your ancestor:

(YOU WILL NOT BE ABLE TO FILL IN ALL THE BLANKS!

       HELP US HELP YOU BY ANSWERING AS MANY AS YOU CAN.

       ONE OF THESE QUESTIONS MAY BE WHAT YOU WANT US TO FIND FOR YOU.)

Ancestor’s name______________________________________________

Date of Birth __________________   Place of Birth____________________

Date of Death __________________   Place of Death_________________

Spouse’s Name _______________________________________________

Date of Birth___________________   Place of Birth ___________________

Date of Death __________________ Place of Death ___________________

Date of Marriage _______________   Place of Marriage_________________

Mother’s Name _______________________________________________

Date of Birth __________________     Place of Birth ___________________

Date of Death __________________ Place of Death __________________

Father’s Name _______________________________________________

Date of Birth __________________     Place of Birth __________________

Date of Death __________________ Place of Death __________________

Any other information:__________________________________________

2. What two specific questions do you have for our volunteers to research for you?

       a.___________________________________________________________________

       b.___________________________________________________________________

Your Name: __________________   email address:______________________________

Please print and mail this form, along with your $20 research fee, and a SASE to:

HISTORICAL SOCIETY OF WASHINGTON COUNTY
P. O. Box 484
Abingdon, VA 24212-0484

Or order online...please see instructions on Research page!

Depending on volume of requests for volunteers, delays are possible.