NAMES AND PLACES I AM SEARCHING

1. Fill out what you know right now. You can always add/update later.

2. If you are unsure of the correct spelling of the names or places, add a "?" to each item. We can help with the place spelling.

3. Only enter one surname per box in the "Names I Am Searching" section.

4. There is room for ten "Names I Am Searching". If you are searching for more than ten surnames, simply submit an additional form.

Required information. *

Full Name *
Street Address
City/Town
Province (or State)
Postal/Zip Code
Country
Home Phone No.
Work Phone No.
E-Mail Address *  
Complete data entry below:
Names I Am Searching
From Village or Town Of
Raion/Powiat
Oblast/Province
Ukraine or
Poland
           

Note: When you click the "Send" button, it will bring up an e-mail message page with your data. You must ALSO click the "Send" button on the e-mail message page for the data to be sent out.

You may wish to retain a copy of this form. Print this page by clicking the "Print This Form" button. You can also print a blank copy of this form to do your rough work on. Plus, you can snail mail it to:

Jim Onyschuk
6 Owl's Foot Crescent
Aurora, Ontario
Canada L4G 6A2