NIPISSING DISTRICT BRANCH
RESEARCH REQUEST FORM



Research Request

Name _______________________________________

Street _____________________________________

City________________________________________

Province and Postal Code ___________________

E-Mail _______________________

Tell us what you are looking for, which references you'd liked checked, etc.

With the payment of the basic $5.00, you are eligible to have your query printed in our newsletter at no extra cost. Check if your request is appropriate for our newsletter ___ Mail your request, a cheque payable to the "Nipissing District Branch O.G.S." and a self-addressed stamped envelope to:- Nipissing District Branch O.G.S, P.O. Box 93, North Bay, Ontario, P1B 8G8

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