Please print and complete this form and mail it to the address listed below. Include a stamped self-addressed envelope. We ask that you limit your requests to three names per week, as this will enable the volunteers to fill requests in a timely manner.

A search using the following two sources will be done for each surname:

• The first is William Hoffman's Polish Surnames: Origins and Meanings (2 nd ed.). If your name appears, you will get information on the derivation and on related names, as available.
• The second source is Rymut's Dictionary of Surnames in Current Use in Poland (CD). It lists all the surnames in Poland at the time of the 2000 census and the number of people with that surname plus a code indicating where those people live. This can be very helpful in identifying places where your surname clusters today--and thus where your ancestors may have come from or where you might like to visit.

A $5 donation for PGSA members and $8 for non-members is requested per name/search. If you are not already a member, please consider joining and taking advantage of membership benefits. Click here to join. Donations are used for copies, equipment maintenance, general overhead, and supplies.

If you are researching a lot of names, it may be more practical for you to purchase one or both of these sources from PGSA:

• Hoffman's Polish Surnames
• Rymut's Dictionary of Surnames...

Are you a PGSA Member? Yes____ No______ Membership #________

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

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