Tri-County Heritage Society
Ensuring a Future for Our Past...
RESEARCH ORDER FORM
Please complete with as much
information as known.
NAME____________________________PHONE # &
EMAIL________________________________________
ADDRESS_________________________________________________________________________________
STATE__________________________________ZIP
CODE________________________________________
Name of individual in whom you
are interested___________________________________
Exact or approximate dates of
birth:_________death:__________marriage:____________
Known parents/siblings_____________________________________________________
_______________________________________________________________________
Spouse_________________________________________________________________
Family connections to Lancaster,
Berks or Chester Co._____________________________
_______________________________________________________________________
Place of residence in one of the
above counties___________________________________
Please state briefly what
information you are seeking or anything else that could help us in your
research:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Please mail request
with check for $45.00 to:
Tri County
Heritage Society
P.O. Box 352
Morgantown, PA
19543-0352