BENDIGO REGIONAL GENEALOGICAL SOCIETY INC. A0022731P Please print this form and, after completing it, send it with your search fee and a stamped self addressed envelope to: BENDIGO REGIONAL GENEALOGICAL SOCIETY INC. PO BOX 1049, BENDIGO, 3552. or request information via comments box at end of Home page & pay via Bank Transfer BSB 633-000 Account Number: 101 413 680 Account Name: Bendigo Regional Genealogical Society. Make sure you include your name in the reference section so we can identify you. When you forward your request to us we would be grateful if you would also include as much supporting information as you can. This will prevent us from simply sending you information which you already have. Your Full Name_______________________________________________ Date____________________ Postal Address____________________________________________________________________________________________ _____________________________________________________ PostCode__________ E-mail _________________________________________________________ Brief Summary of Request - Please attach any additional documents that may assist us: If you are happy for us to pass you name on to other researchers who are interested in the same family or research topic, please indicate. Share Information? Yes / No Search Fee: A Fee of $30 is requested before research begins. A minimum of 2 hours is spent on is spent on each inquiry; hence $30 fee plus photocopying costs. In very involved or follow up enquiries a further fee may be requested. OFFICE USE: Date Received: __________/___________/_________________ Amount Received: $___________.______________ SAE? Y / N Information Dispatched: _________/___________/_______________ Research Coordinator: ________________________________
