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Research Services Order Form

Research Information

Contact Information

Name of individual being researched:

Please provide all pertinent information you have concerning this individual. For example: names of spouse(s), names of children, names of parents, dates and locations of birth, marriage, death; location(s); date of immigration; etc:
 


Please state the specific question you wish answered or your general research request:


Please cite the sources you have already searched
(to prevent duplication of efforts):

 

 Additional comments:
 


 

 

               
First Name:


Middle Initial/Name:


Last Name:


Mailing Address:


City:


State/Province: (US/CAN)


Zip/Postal Code:


Country:


Email Address:


Telephone (inc. area code)


Communication Preference (email or phone):

New England Historic Genealogical Society
99 - 101 Newbury Street
Boston, Massachusetts 02116, USA
888-296-3447

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