Please attach this form, and mail it, along with copies of Obituary 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 Obituary search results printout with the requested Names hi lighted, checked or circled.

For members a US$ 5.00 donation, for non-members a US$ 8.00 donation, is requested per listed name (membership form). The donation is used for research time, copies, postage and the upkeep of the Polish Museum Library machines which are used in processing the obituaries. Additionally, the donations are used to purchase genealogical books and materials for the Library.

Are you a PGSA Member? Yes____ Membership #________ No______

Amount submitted: $ _______ Make check out to the PGSA.

Email Address:_____________________________________

Name_______________________________________________________

Address _____________________________________________________

_________________________________________________________________

Please note: Requests without copies of the Obituary search results will be returned.

For a copy of the obituary translations? Click here.

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

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