RESEARCH LOCALITY PROFILE

The Society reserves the right to use only current members profiles
which have been updated within the last five years. Please mail this form to:
The Downriver Genealogical Society, Box 476, Lincoln Park, MI 48146.

Please Print

Date______________

NAME____________________________________________|___________________

(Last, First Middle - Maiden name)

STREET_______________________________________________________________

CITY________________________________STATE______ZIP__________________

PHONE (____)_____ ___________ (Optional)

List the geographical locations you are researching (city, county, state, if USA)
(equivalent political divisions for foreign countries, please) _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

My signature below authorizes the Downriver Genealogical Society to publish my profile. All members will have access to this publication at regular meetings in order to find others that may be researching the same area. I am willing to share and exchange locality information with other members.

SIGNATURE ____________________________________ DATE________________

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