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~ Genealogy Research Request Form ~
Firstly we provide an assessment of your existing family records and decide if your family history would benefit from further research. If further research is required please indicate which of our research options you would choose.
Type of research required:
Your Details
Name:
Postal Address:
Telephone:
E-Mail:
Would you like the report sent by:
Ancestor's Name:
Ancestor's religion:
Ancestor's address:
Date and Place of birth:
Date and Place of marriage(s):
Name of spouse (including mother's maiden name):
Name, date and place of birth of any children:
Date and Place of death:
Any other relevant details (e.g. change of address if known, approx. date of eviction, approx. date of emigration:
How would you like to pay?
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