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WOODEND & DISTRICT HERITAGE SOCIETY INC.
 Local & Family History Resource Centre
ABN 59 338 256 068
Research Request Form

Please print this form and, after completing it, send it with your search fee and a large A4 stamped self addressed envelope to:
The Woodend & District Heritage Society
PO BOX 124, WOODEND, 3442. Australia

Please help us help you by PRINTING neatly.

When you forward your request to us we would be grateful if you would also include as much supporting information as you can.  This will prevent us from simply sending you information which you already have.
 

Your Full Name________________________________________Date______________

Postal Address___________________________________________________________

_____________________________________________________PostCode__________

Phone Number Business __________________
Phone Number Home     __________________
Fax Number                   __________________
E-mail                             __________________

Brief Summary of Request - Please attach any additional documents that may assist us:
 
 
 
 
 
 
 
 
 
 
 

Your Signature_________________________  Date __/__/__

If you are happy for us to pass you name on to other researchers who are interested in the same family or research topic, please indicate.
Share Information?  Yes / No    (Please circle one)

Search Fee
Within Australia:  Full search including a reasonable amount of photocopying - $25.00 .  Includes postage and GST and is valid for a 12 month period.
Overseas:  $A30.   This includes a reasonable amount of photocopying and return postage by airmail.
         For our direct bank deposit:     BSB: 033 674     A/c No. 480742
        Please identify the deposit with your name, and note as "search fee".
 



OFFICE USE:

Date Received:              __/__/__

Amount Received:        $_____.__                   SAE?  Y / N

Information Dispatched:  __/__/__

Research Coordinator:  ________________________________



Welcome Page

Membership

Meetings

Sale Items

Research Request

Holdings

Library

Photographs