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Header Left  Who's Who in Polish America Request Form Header Right
 
 

Once you have printed out your Who's Who in Polish America biography search results and highlighted the name(s) of interest, complete this form and mail it to the address below.

Include a check for a $5 (U.S.) donation (PGSA member) or $8 (U.S.) (non-member) per each highlighted name. 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.

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 Who's Who in Polish America biography search results will be returned.

Please send your order (completed form, search results, and check) with with a Stamped Self Addressed Envelope to:

PGSA
984 N. Milwaukee Avenue
Chicago, IL 60642-4101

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