Suggested Request Form
(printable -- for ordering by
mail or fax)
Your Name:_________________________________________________________
Postal Address:______________________________________________________
___________________________________________________________________
___________________________________________________________________
Phone Number(s):
Work:________________________________
Fax:__________________________________
E-Mail Address:_____________________________________________________
Surname of Family / Branch in Question:_________________________________
Nature / Extent of Research: ___________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Finance & Payment --
I wish to authorize research worth approximately $____________
I enclose a retainer (at least half of authorization) of $____________
Please make check etc. payable to "Mark K. Windover,
Genealogist"
Visit this pageto print out a form with which you
may make a payment with your American Express, Mastercard,
or Visa account.
There is nothing sacred about this form. Feel free to modify the format above to suit your needs!