House/Property Research Form  
Manchester Historical Society

175 Pine Street    Manchester, CT 06040
Email: info@manchesterhistory.org     Telephone: 860-647-9983

In order to assist the Manchester Historical Society in performing this House/Property Research effort, the Society requests that you be aware of the following...

• Please type or print clearly the information on this form.
• The basic research fee is $20 for Members and $25 for Nonmembers, and is limited to two hours of research.
• Research will include up to 8 photocopies.
• Additional research hours will be charged at the rate of $15 per hour.
• Additional copies will be billed at 25 cents per page.
• You will be contacted before additional charges are incurred.
• Fees incurred in the course of the research will be charged as incurred.

Mail this form along with payment to the address above.
Requests will be answered in the order they are received. Please allow 4 6 weeks.


Your Name: ________________________________________________________________

  Address: ________________________________________________________________

     City: _________________________________ State: _______ ZIP: __________

Telephone: ______________ Email Address: __________________________________


Address to be researched: _________________________________________________
(One address per sheet)

Please provide the following information, if known:

Date House constructed: _____________

Original owner/builder: __________________________________________________

Describe what you would like us to find for you:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

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The more information you provide will help us avoid unnecessary research. Please attach additional sheets as necessary.