Genealogical Research Form  
Manchester Historical Society

175 Pine Street    Manchester, CT 06040
Email:     Telephone: 860-647-9983

In order to assist the Manchester Historical Society in performing this Genealogical 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 (such as for Death Certificates) 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: __________________________________

Name of Person to be researched: __________________________________________
(One name per sheet; include middle name or initial)

Birth Date and Location: __________________________________________________

Marriage Date and Location: _______________________________________________

Death Date and Location: __________________________________________________

Years in Manchester: _________ (e.g., 1920-1947)

Nationality / Religion: ___________________________________________________

Name of Spouse: ___________________________________________________________

      Birth Date and Location _____________________________________________

      Death Date and Location _____________________________________________

(List any additional spouses on a separate sheet)

Names of Children: _______________________________________________________



Please tell us what you would like to know. The more information you provide will help us avoid unnecessary research. Attach additional sheets as necessary.