Writing Home Order Form

Once you have printed out your Writing Home search results and highlighted the name(s) of interest, complete this form and mail it to the address below.

Include a check for a $5 (U.S.) donation (PGSA member) or $8 (U.S.) (non-member) per highlighted name. 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.

Email Address:_____________________________________

Name_______________________________________________________

Address _____________________________________________________

Please note that requests without the Writing Home search results will be returned.

Please send your order (completed form, Writing Home search, and check) with a Self Addressed Stamped Envelope to:

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