Old Fort Genealogical Society
 P. O. Box 1, Fort Madison, Iowa  52627

Your donation of $5 per hour for library research or $7.50 for courthouse research helps enhance our genealogical resource collection located at the Idol Rashid Memorial Library. Please include a minimum payment for the first hour of research, along with self-address stamped envelope, and indicate the maximum number of hours of research you wish to pay for. You will be asked to reimburse photo duplication, charges and postage.

WE NEED GOOD INFORMATION, NAMES, DATES AND THE AREA OF THE COUNTY THE PEOPLE WERE KNOWN TO BE IN. IT IS IMPORTANT TO TELL US WHAT INFORMATION YOU NEED AND WHAT YOU ALREADY HAVE. (Use back of Page)



Surname ________________________________Given Name ________________________________

Birth Date ____________________________Death Date ________________________________

Parents __________________________________________________________________________

Spouse's Maiden Name ___________________________Given Name ___________________________

Marriage Date __________________________Place _____________________________________

Residence, Town(s) or Township(s)__________________________________________________

Time Period to Search _____________________________________________________________




Name_______________________________________________________________

Address ___________________________________________________________

City ______________________________________________________________

State _________________________________ Zipcode ___________________

E-Mail ____________________________________________________________


Amount Enclosed $ _______________________________