Please print this Form, fill out, and send along with check to the address below.

Chesterfield District Chapter, S.C.G.S. Post Office Box 167 Chesterfield, South Carolina 29709

2007 RESEARCH REQUEST FORM

Name ___________________________________  Address ____________________________________ City _________________________  State _____  Zip ___________  Telephone (     ) _______________ Email Address ___________________________________________  Date ________________________

Are you a member of C.D.C. or another chapter of S.C.G.S.?   (   ) yes   (   ) no Would you like to become a member of C.D.C. or another chapter of S.C.G.S.? (   ) yes     (   ) no

Please consider an additional contribution to the chapter, even $5.00 can go a long way in helping Chesterfield District Chapter SCGS obtain its goals. Additional Contribution:     (   )  $5.00     (   )  $10.00     Other Amount $ ________

Please make checks payable to Chesterfield District Chapter, S.C.G.S.

List the name or surname you would like to be searched or looked-up, the county and state or country of orgin and approximate dates (if known), and the books, CDs, microfilm, microfiche, or periodicals that you would prefer to be searched.       Name/Surname, Location, Dates                       Materials that you prefer to be searched _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________ _______________________       _______________________

A complete listing of researchable materials is being compiled and will be online in the near future. For questions regarding the availability of materials at the Chesterfield Genealogical Research Library, please Email the Website Manager.

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