ROCK  COUNTY  GENEALOGICAL  SOCIETY

RCGS MEMBERS' ANCESTRAL SURNAME SUBMISSION FORM
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Instructions: (1) Print This Form (2) Fill-Out, and (3) Mail to RCGS, PO 936, Janesville, WI 53547-936

Membership in the Rock County Genealogical Society allows you to submit your Family Surnames along with geographic, immigration and date information along with email or postal contact information. This information is then posted to the RCGS web site (see sample below). Then others researching your surnames can contact you to share their research, photos and family stories.

SAMPLE (note: a greater-than sign “ > ” shows immigration from one place > to another place)

SURNAMES

TIME FRAME

VILLAGE, CITY, TOWNSHIP

COUNTY

STATE or PROVINCE

COUNTRY

CONTACT INFO.*

BRADFORD

1875 - 1950

Clintonville

Waupaca Co. (WI)

MA > WI

England > USA

pat672@yayoo.com

DARRAH

Before 1950

La Prairie Twp.

Rock Co. (WI)

NY > WI

USA

pat672@yayoo.com

OEHRKE

January, 1870

Edgerton > Beloit

Rock Co.

WI

Germany > USA

Arthur@hotmail.com

LASHER

Circa 1880

Racine

Racine Co.

WI

USA

MaryF@netcom.com

LANPHIER

After 1910

Albion

Dane > Rock Co.

WI

USA

C.Smith, 101 Main Str. Janesville, WI 53545


ADD YOUR FAMILY INFORMATIOM BELOW (BLOCK PRINT PLEASE!)

SURNAMES

TIME FRAME

VILLAGE, CITY, TOWNSHIP

COUNTY

STATE or PROVINCE

COUNTRY

CONTACT INFO.*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Provide an email address as contact information (email addresses disguised on the web page), or you may provide a postal address instead.
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