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GENEALOGY RESEARCH SERVICES

Thank you for your interest in our research services.  Please print out this form from your browser and fill it out. Mail to the Museum (PO Box 741, Amherst, VA 24521), enclosing appropriate payment. 

Please Read Carefully: Genealogy Research is done by volunteers. These researchers donate their time for this service and all proceeds go to the museum. 

We request that you:

  • Complete the following form
  • Make check payable to: Amherst County Historical Museum.

  • Search: (Please mark the package you are requesting and circle whether you are a member or non-member.)

    ___ 1 individual ..............Members: $20.00.......Non-members: $30.00

    ___ 2-3 individuals .............Members: $35.00.......Non-members: $45.00

  • I understand that a search may not uncover any new information or documents.

     

    Sign and print name:_______________________________ __________________________________

    Amount paid $_________

    Address_________________________________________________________________________

    Email Address________________________________

    Please send a separate check if also ordering a book.

    Please allow thirty days for response.

     

    Please fill in all known relevant information for name(s) being researched.

    1) First Name:________________________ Last Name:__________________________

    Date of Birth:_________________________ Place of Birth:_______________________

    Marriage date:_______________ Spouse:_____________________ Location:________________

    Date of Death:________________________ Place of Death:______________________

     

    2) First Name:________________________ Last Name:__________________________

    Date of Birth:_________________________ Place of Birth:_______________________

    Marriage date:_______________ Spouse:_____________________ Location:_________________

    Date of Death:________________________ Place of Death:______________________

     

    3) First Name:________________________ Last Name:__________________________

    Date of Birth:_________________________ Place of Birth:_______________________

    Marriage date:_______________ Spouse:_____________________ Location:__________________

    Date of Death:________________________ Place of Death:______________________

     

    Additional remarks or specific information you are looking for:

    1)____________________________________________________________________________

    ______________________________________________________________________________

    2)____________________________________________________________________________

    ______________________________________________________________________________

    3)____________________________________________________________________________

    ______________________________________________________________________________

Updated 7 Aug 2015