J. B. Cain Archives of Mississippi Methodism

GENEALOGICAL RESEARCH REQUEST FORM: LAY PERSON

Please copy one form for each person to be researched.

Please search for information on the following LAY PERSON

 

Full Name:

 

Member of (Name and location of church):

 

Date of Birth:

 

Date of Death:

 

Additional information which may be helpful in locating records

 

 

 

 

 

Requestor

 

Name:

 

Street Address:

 

City ST ZIP Code:

 

Home Phone:

 

E-Mail Address:

 

Payment and Signature

Enclosed is my check, made payable to Millsaps-Wilson Library, in the amount of:

$10 for each name to be researched:

 

Signature:

 

Date:

 

Send to

College Archivist, Millsaps-Wilson Library, Millsaps College, 1701 N. State St., Jackson, Mississippi 39210-0001.