Goulbourn Historical Society and Museum - Historical Society Research

You may request information by submitting this form online. Alternatively, you may print this form and mail it to: The Goulbourn Museum 2064 Huntley Road Stittsville, Ontario, CANADA K2S 1B8 Please see our Research Services Pricelist, posted in the sidebar of our Historical Research webpage. The Museum will contact you with a summary of our results and a price for compiling your package. We will request that you send a cheque/money order before we forward your information. All completed research packages will be sent to clients by regular mail. Research packages will contain Xerox copies of any photographs related to your research topic, along with information about ordering restored images.
Date:
Client Name:
Address:
City / Town:
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Country:
Postal Code / Zip Code:
Telephone ( and Area Code):
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Requesting Information on:	Family Name Local History Subject

Please fill in applicable information regarding your genealogical or historical request. These details expedite our search process.

Family Name, Local History Subject:
Date of Birth:
Date of Death:
Address (Village, Concession, Lot):
Religion:

Name of Spouse (if applicable):
Date of Birth:
Date of Death:
Address (Village, Concession, Lot):
Religion:

Additional Information: