NCIGS Research Request

YOUR NAME: ________________________________________________________
ADDRESS: ________________________________________________________
CITY, STATE, ZIP: ________________________________________________________
PHONE: ________________________________________________________
E-MAIL ADDRESS: ________________________________________________________
Information about person you want us to research:

First___________________ Middle ___________________Last Name______________________

  Birth date: __________________________ (spell out the month) Maiden Name_____________

  Birth location: City________________County_______________State______Country__________

  Death date:___________________________________________________(spell out the month)

       Death location: City_______________County_______________State______Country__________

        Marriage date: ________________________________________________(spell out the month)

       Marriage location: City_____________County______________State______Country__________

      Father’s full name:_______________________________________________________________

       Mother’s full name (include maiden name:___________________________________________

        Siblings’ full names:______________________________________________________________

                                     _______________________________________________________________

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Please specify exactly what you want us to find for you and what resources you’ve already researched. 
Be specific, as we do not want to waste your money repeating research you’ve already completed.

 

Email: research@ncigs.org or Mail to:

North Central Iowa Genealogical Society
P. O. Box 237
Mason City, IOWA 50402-0237