Please print this Form and Send along with items to the address below: 


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



20 __ DONATION FORM


Name ___________________________________  Address ____________________________________

City _________________________  State _____  Zip ___________  Telephone (     ) _______________

Email Address ___________________________________________  Date ________________________



Money (   )         Genealogical Books (   )         Genealogical Periodicals (   )
CD Roms (   )         Microfilm (   )         Microfiche (   )         Newpapers (   )
Ancestor Charts (   )         Family Group Sheets (   )         Family Histories (   )
Bibles (   )         Photographs (   )         Scrapbooks (   )         Office Supplies (   )
Other (   )



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


List items or item groups and how many of each below.


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