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Please print and complete this form, and mail it to the address listed below. A search will be done for each town name, using several sources, such as:

  • Slownik Geograficzny (CD)*
  • Spis Miejscowosci Polskiej Rzeczypospolitej
  • One or more gazetteers, as available for the area
  • One or more atlases

It is very important that your request include the province or partition, and any other clues that may help us to identify the right place. It may be helpful to include a copy of the source listing the town. Please note that you are paying for the search; we can not guarantee that we can pin down the town.

Town Name Province Name Galicia, Russia, or Prussia/Germany

Include a check for a $8 (U.S.) donation (PGSA member) or $12 (U.S.) (non-member) per town. The donation is used for the costs of supplies, equipment, and materials. If you are not a member, please consider joining the Polish Genealogical Society of America, and taking immediate advantage of membership benefits.

If you are researching a lot of towns, it may be practical for you to purchase Slownik Geograficzny (CD) from PGSA.

Are you a PGSA Member? Yes______ No______ If yes, membership #___________

Email address ________________________________________________________

Amount submitted: $ ______ Please make check out to PGSA.

Name _______________________________________________________

Address _____________________________________________________


For translating help, click on the Slownik Geograficzny translation guide 1 and guide 2.

Please send your request with a Stamped Self Addressed Envelope to:

984 N. Milwaukee Avenue
Chicago, IL 60642-4101

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