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.