Please attach this form, and mail it, along with copies of Haller's Army Web search results printout, to the address listed below. We ask that you limit your requests to three names per week, as this will enable the volunteers to fill the request in a more timely manner.

Attach a copy of Haller's Army search results printout with the requested names highlighted, checked or circled.

For each surname form type order:

Form Type	Member Donation	Non-Member Donation	Information
A	$5	$8	Intention to volunteer
C	$5	$8	Final commitment paper
L	$7	$10	Usually contains Forms A, B, and C

The donation fee is used for research time, copies, postage and the upkeep of the Polish Museum Library machines which are used in processing the copies. All transactions are final. PLEASE NOTE: If you order more than one form type (A, C, and/or L) You may get duplicate information.

Are you a PGSA Member? Yes____ No______ Membership #_____________

Name__________________________________________________________

Address ________________________________________________________

____________________________________________________________________

email address ____________________________

For copies of English translation of the forms, click on - Form A - - Form C -

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

PGSA
984 N. Milwaukee Avenue
Chicago, IL 60622-4101