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. check2.gif - 1.4 Kpayable to "Mark K. Windover, Genealogist"

Visit this pageax_mc_vs.gif - 3.3 Kto 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!

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