genform3

RESEARCH INQUIRY FORM

Research Fee
$25 per hour plus photocopy charges
Minimum charge-$12.50

Cumberland County Historical Society
21 North Pitt Street
Carlisle, PA 17013
http://www.historicalsociety.com

DATE : ___________________________________

RESEARCH QUESTION / TOPIC : __________________________________________________________________

______________________________________________________________________________________________

SPECIFIC INFORMATION NEEDED : ________________________________________________________________

______________________________________________________________________________________________

INFORMATION ALREADY KNOWN : __________________________________________________________________

______________________________________________________________________________________________

COMMENTS : ___________________________________________________________________________________

______________________________________________________________________________________________

NAME : _________________________________________

ADDRESS : ____________________________________________________________________________________

______________________________________________________________________________________________

E-MAIL ADDRESS : _________________________________________