Name:____________________________________________
Street
Address:_____________________________________
City:____________________State:_____Zip:______________
Phone:(____)____________
Please list title and reference number from online card catalog
| Reference # | Title |
Use the following space to describe what you want us to look for. Write
this like a "good query. Include surnames, approximate dates, places - anything
that will help us to hlep you. Is it a marriage? the names of children or
siblings? or is it a general search for information about a
family?
I enclose my check for (circle one) $6.00 (HCPD members) $10.00 (non-members) for one hour's research in the above reference sources. I understand that, if there is more information available in the listed resources than the hour's research covers, I will be billed the additional costs. Whether or not you find the answer I seek, you will bill me in increments of one hour units of research time for any time spent on this request beyond the one hour. Please place a limit of ____ hours on this research. Research time will include time spent making copies and writing reports to me about my requests. Additionally, I will be billed for copy costs. Members of HCPD will be billed at 10¢ per side copied; non-members will be billed at 15¢ per side copied. Postage will be included in the research fee unless there are more than 4 pages of copies; if that is the case, postage will be billed in accordance with costs as established by the post office.
I understand that as soon as possible after receipt of my request, HCPD staff will search the requested publications, CD-Roms, or manuscripts. I understand and accept all of the above.
Signed:______________________________
I prefer to pay by Visa - Master Card (circle one).
My card number
is:___________________________ Exp. date:__________________
Signed:____________________