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
 

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