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



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.



Back to Research Requests