Scottish Family Research

Application Form

(Please write clearly in BLOCK CAPITALS)

Essential Details of the Person whose Ancestry you wish to Trace:-

1. Surname:- _____________________________________________________

2. Christian (Given) Name(s):- ________________________________________

3. Date of Birth:- __________________________________________________

The following are Optional but Answers to all or any of the Questions would be Useful:-

4. Place of Birth:- ______________________________________________

5. Name of Husband/Wife:- ________________________________________

6. Date & Place of Marriage:- ____________________________________

7. Date & Place of Death:- _______________________________________

8. Occupation:- __________________________________________________

9. Religion:- ____________________________________________________

10. Parents' Names:- ______________________________________________

Please use the back of this form for any additional information which you may consider to be of use.

Applicant's Details:-

Name:- ________________________________________________________

Address:- _____________________________________________________

_______________________________________________________________

Phone Number:- ________________________________________________

e-mail:- ______________________________________________________

Where did you find out about Scottish Family Research? ________

_______________________________________________________________

Signature:- ___________________________________ Date:- _________________

Type of Research Required:-

Type of research		Fee Enclosed
Initial Search on the Male Line @ £90		£______
Initial Search on the Female Line @ £90		£______
Initial Search on both Male and Female Lines @ £170		£______
______ Hours Search on the Male Line @ £18 per Hour		£______
______ Hours Search on the Female Line @ £18 per Hour		£______
______ Days Search  @ £144 per Day		£______

Please note that payment in advance is required.

OVERSEAS CUSTOMERS:-

If paying in your Local Currency, please add the Equivalent of £10 Sterling to Each Cheque to cover the Bank Charge for paying a Foreign Currency Cheque into my Bank. You may find it cheaper to get a Sterling Cheque from your own Bank.

The completed form, together with your remittance (payable to Scottish Family Research), should be sent to:-

Angus M. Coutts
Scottish Family Research
10/8, Duddingston Mills
Edinburgh EH8 7TU
Scotland

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