Haller’s Army Request Form

Once you have printed out your Haller’s Army search results and highlighted the name(s) of interest, mail it to the address below.

Form A is the Application ($5/$8)
Form C is the acceptance into the Army ($5/$8)
Form L usually contains forms A, B, and C ($7/$10)
Please note that if you order more than one form, you may get duplicate information.

Include a check for a $5 (U.S.) donation (PGSA member) or $8 (U.S.) (non-member) per highlighted name for Forms A, B, or C; for the usually comprehensive Form L, the costs are $7 for members and $10 for non-members. The donation is used for the costs of supplies, equipment, and materials. If you are not a member, please consider joining the Polish Genealogical Society of America, and taking immediate advantage of membership benefits.

Are you a PGSA Member? Yes____ No______ If yes, Membership #_____________

Amount submitted: $ _________ Please make check out to PGSA.

Name__________________________________________________________

Address ________________________________________________________

email address ____________________________

For copies of English translations of the forms, click on – Form A| Form C

Please note that requests without the Haller’s Army search results will be returned.

Send your request with a Stamped Self Addressed Envelope to:

PGSA
984 N. Milwaukee Avenue
Chicago, IL 60642-4101