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Before submitting your application form you should read the following: Information Sheet 1 - Explanation of the 2 stages involved in obtaining a Family History Report. Information Sheet 2 - guidance for collecting essential material prior to commissioning a Family History Report.
Application Form
Please print the following form, fill in and return it to us.
Applicant's Name: _____________________________________________________________________
Address: _____________________________________ _____________________________________________________________________ _____________________________________________________________________ Postal Code: _______________________ Country: _________________________ Date: _____________
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Questionnaire The research department requires certain details about a
known Mayo ancestor before they can begin a search of the
records available to them. Please answer as many questions
as possible and add or enclose any further information you
have which is not covered by this questionnaire. Your Ancestor's
Details All following questions relate specifically to the person
named at A. The ancestor named at A should have a birth date
prior to 1901. A Your ancestor's full
name _____________________________________________________________________ B Date and place of
birth _____________________________________________________________________ _____________________________________________________________________ C Mother (name &
pre-marriage surname) _____________________________________________________________________ Father (name) _____________________________________________________________________ Brothers and Sisters
(names) _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ D Marriage(s) (any
available information & dates) _____________________________________________________________________ _____________________________________________________________________ E Death details (date
& place of burial) _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ F Emigration details (if
any) _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ G
Occupation _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ H Religious
denomination _____________________________________________________________________ I Any other
details _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Declaration I have read and understand the above. Signed: ______________________________ Date:
__________________ You may wish to make a copy of this
application for your records. Fees The assessment fee is Euro95 (approx US$110) (or, the
equal amount in your own currency). This fee is based on the
time and expense involved in carrying out a thorough
assessment. Please forward the fee with this form. Please make cheques payable to: Mayo Family History
Research Centre You can also pay by Master Card or
Visa. Please enter Credit Card details below. Account No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Card Holder's name
______________________________________________ Expiry Date ______________________ Type of Card _____________________________ Card Holder's address
_______________________________________ ________________________________________________________________ Signed by Card Holder
_______________________________________________ Market
Research As part of our on-going market research programme, we
would be grateful if you completed the following: (This
information is purely for statistical purposes.) Q1) How did you hear about the Mayo Family History
Centres? _____________________________________________________________________ _____________________________________________________________________ Q2) Please indicate with a whether you are Male or Female
____________ Please indicate with your age group: 18-24, 25-34, 35-44,
45-54, 55-64, 65+ _________ Q3) Your occupation:
______________________________________________________________ Your co-operation is much appreciated. For Office Use
Only Customer No.: ____________________ Date:
____________________ (c) Copyright Mayo Family History Marketing Company
Ltd.
| The Centres |
Return to your Roots |
What is a Family History
Report? | Sample
Report Ordering a
Report New for
2003 To find out more about the centres, you can
contact them at: Mayo North Family Heritage Centre Tel: + 353 (0) 96 31809 South Mayo Family Research Centre Tel: + 353 (0) 94 954 1214 Mayo Family History Centres
are members of the Irish Family History
Foundation.
| Contents
| Introduction |
Page 2 | Page
5 |
| Order Form | Information
Sheet 1 | Information
Sheet 2 |
Mayo
Births & Baptisms Search
Enniscoe
Castlehill
Ballina
Co Mayo
Ireland
Fax: + 353 (0) 96 31885
Main Street
Ballinrobe
Co Mayo
Ireland
Fax: + 353 (0) 94 954 1214
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