Yes, I want to sign-up for Family Papers exciting new service and take advantage of your Special Internet Registration Offer ($18.95 per ancestor for 1 year). Here's the information you need:
Customer Information (Please Print)
Name: _______________________________________________________________
Address: ______________________________________________________________
City: ____________________________________ State: _________ Zip: ___________
E-Mail Address: ____________________________ Fax: (_____)__________________
Home Phone: (_____)__________________ Work Phone: (_____)__________________
How Did You Hear About Family Papers: _____________________________________
Ancestor Information (Please Print)
Sex: Male ( ) Female ( )
First Name: _________________________________ Middle Name: ____________________
SURNAME: ________________________________ (Maiden Name):___________________
Title/Rank (if Applicable): ________________________
Birth Date (Day/Month/Year): _____________________________________
Birth City: ______________________________________ State/Country: ________________
Date of Death (Day/Month/Year): __________________________________
Death City: _____________________________________ State/Country: ________________
City/Location of Primary Association: _____________________________________________
State/Country of Primary Association: _____________________________
Primary Occupation During Life: _________________________________________________
Other Pertinent Information Regarding Your Ancestor: _________________________________
___________________________________________________________________________
Return this completed form to: Family Papers, PO Box 230086, Tigard, OR 97223 along with a check for $18.95 per registered ancestor.
For questions call: (503) 968-6595, (503) 968-6365 (fax), or E-Mail familypapers.com
This page last updated: 16 January 1997