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Please fill out and submit this form if you would like to
add a surname, add additional
information to one of the already listed surnames
or to identify a person who would be
willing to act as a resource contact.
Please enter the surname you wish to register.
Please enter the first name(s) of the original
What were the approximate years they lived in
In which township(s) did they live?
With what other surnames did they intermarry?
Do you wish to be listed as a resource for
this surname whom researchers could contact for information? yes
If yes, please list your name
and e-mail address.
Type additional comments here: (100 words or less):
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