Tri-State Genealogical & Historical Society

717 Washington St.
P.O. Box 454
Newell, WV 26050
TSGHS Research Form
Minimum Research Fee $10.00
Copies .10 & .25
Postage & Handling

The following sources will be checked; books, birth & death records,
cemetery records, census, obituaries, microfilm and CDs.

Name: ________________________________________________________________
Address: _____________________________________________________________
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Date of your request: ________________________________________________
Ancestorís name: _____________________________________________________
If known, birth date and place: ______________________________________
Marriage date and place: _____________________________________________
Spouseís birth date and place: _______________________________________
Children: ____________________________________________________________
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Additional information that you have on your ancestor: _______________
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What is the specific information you are seeking on this ancestor: ___
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