Hackers Creek Pioneer Descendants
Research Request Form

Personal Information:
First Name: Required
Last Name: Required
Address: Required
Address 2:
City: Required
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Postal Code: Required
Phone: Required, formatted as (000) 000-0000
Email: Required
Request Information:
Please list title and reference number from online card catalog:
Reference # Title

Use the following space to describe what you want us to look for. Write this like a "good query. Include surnames, approximate dates, places - anything that will help us to help you. Is it a marriage? the names of children or siblings? or is it a general search for information about a family?

Research Agreement and Payment Information:
I enclose my check for:
$6.00 (HCPD Members) Please make a selection.
$10.00 (non-members)
for one hour's research in the above reference sources. I understand that, if there is more information available in the listed resources than the hour's research covers, I will be billed the additional costs. Whether or not you find the answer I seek, you will bill me in increments of one hour units of research time for any time spent on this request beyond the one hour.I would also like to make a donation to HCPD with my dues.

Please place a limit of hours on this research. Research time will include time spent making copies and writing reports to me about my requests. Additionally, I will be billed for copy costs. Members of HCPD will be billed at 10¢ per side copied; non-members will be billed at 15¢ per side copied. Postage will be included in the research fee unless there are more than 4 pages of copies; if that is the case, postage will be billed in accordance with costs as established by the post office.

By submitting this request, I understand that as soon as possible after receipt of my request, HCPD staff will search the requested publications, CD-Roms, or manuscripts. I understand and accept all of the above.