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GENEALOGICAL NAME SEARCH REQUEST

Please print this form out and mail it via US Postal Service. Include your name, address and daytime telephone number incase there are any questions.  We are not equiped to handle e-mail requests for searches of the HIAS records. Any requests for searching of the HIAS records received by e-mail will go unanswered

The fee schedule for genealogical research performed by the Archives Center staff is $18.00 per name searched. Please make checks payable to Philadelphia Jewish Archives Center.  Checks must be drawn in in American Dollars from a US Bank.  Checks will be cashed upon receipt but due to time and staff limitations, patrons can expect to wait up to 4 weeks before receiving a response.

PHILADELPHIA JEWISH ARCHIVES CENTER

125 North 8th Street

Philadelphia, PA  19106

1. NAME OF IMMIGRANT:_________________________________________________

                       (Include all variations of the spelling of the last name)

2. DATE OF ARRIVAL : _________________________________

3. APPROXIMATE AGE AT ARRIVAL: ____________________________

4. COUNTRY OF ORIGIN:__________________________________________

5. DID HE/SHE ARRIVE ALONE?     Yes:______ No:______

6. If the answer to question 5 is No, please list names, ages, and relationship of those who also arrived:

 ____________________________________________________________

 ____________________________________________________________

_____________________________________________________________

7. ANY OTHER RELEVANT INFORMATION:

 __________________________________________________________

 __________________________________________________________

 __________________________________________________________

8. PLEASE INCLUDE YOUR:

NAME:_________________________________________________

 ADDRESS:_________________________________________________

                   _________________________________________________

PHONE NUMBER:_________________________________________________

E-MAIL ADDRESS:_________________________________________________


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Last Updated: November 28, 2006