Submit Your Own Information Form

If you do not see your family listed in the database, or there are errors, or you see other people missing, please fill in the form below. Obviously all fields are optional. It will be sent to me by e-mail. Pictures would be nice too, and they can be file attached through the address on the Home Page.

Please fill in this form once for for you and your spouse(s), there is another form for your children.

See our Privacy Policy listed elsewhere on the web site. All information will be published unless you say otherwise.

Source is who told you the information, or what document it is listed in, and where that document can be found.

Thanks for your time.




Submitters Name (First, Middle, Last)

Male FemaleAdopted

Date Born
MM/DD/YYYY

Place

How know

Bar/Batmitzvah MM/DD/YYYY


Place


How know


College/University degrees and when MM/DD/YYYY



Marriage1 Start
MM/DD/YYYY


Place


Wedding Cert #


Marriage1 End
MM/DD/YYYY


Spouses Name (First, Middle, Last)


Death/Divorce/Separation


Marriage2 Start
MM/DD/YY


Place



Wedding Cert #

Marriage2 End
MM/DD/YYYY


Spouse Name (First, Middle, Last)


Death/Divorce/Separation


Your Occupation


Employers Name/Address/Phone (put inside { } if not for publication)


Your Home Telephone (put inside { } if not for publication)


Your Cellular Telephone (put inside { } if not for publication)


Your Fax Number (put inside { } if not for publication)


Your e-mail address (put inside { } if not for publication)


Your Fido and or Home Page address


Present Address with MM/DD/YYYY start  (put inside { } if not for publication)


Previous Address with dates there MM/DD/YYYY to MM/DD/YYYY


Second Previous Address with dates there MM/DD/YYYY to MM/DD/YYYY


Third Previous Address with dates there MM/DD/YYYY to MM/DD/YYYY




Other Names You are known as (First, Middle, Last)


Other Names You are known as (First, Middle, Last)


Other Names You are known as (First, Middle, Last)




Submitters Father (First, Middle, Last)


Submitters Mother (First, Middle, Last)




Comments or other information on you or your parents



Spouses Name (First, Middle, Last)

Male FemaleAdopted

Spouse Born MM/DD/YYYY


Spouse Born Place


How know


Spouses Bar/Batmitzvah MM/DD/YYYY


Place

How know



Spouses College/University degrees and when MM/DD/YYYY




Spouses Marriage1 Start
MM/DD/YYYY



Place



Wedding Cert #


Spouses Marriage1 End
MM/DD/YYYY



Spouses Spouse Name (First, Middle, Last)



Death/Divorce/Separation


Spouses Marriage2 Start
MM/DD/YY



Place



Wedding Cert #


Spouses Marriage2 End
MM/DD/YYYY



Spouses Spouse Name (First, Middle, Last) 



Death/Divorce/Separation 




Spouses Occupation



Spouses Employers Name/Address/Phone (put inside { } if not for publication)





Spouses Home Telephone (put inside { } if not for publication)


Spouses Cellular Telephone (put inside { } if not for publication)


Spouses Fax Number (put inside { } if not for publication)


Spouses e-mail address (put inside { } if not for publication)


Spouses Fido and or Home Page address




Spouses Present Address with MM/DD/YYY start (put inside { } if not for publication)


Spouses Previous Address with dates there MM/DD/YYYY to MM/DD/YYYY


Spouses Second Previous Address with dates there MM/DD/YYYY to MM/DD/YYYY


Spouses Third Previous Address with dates there MM/DD/YYYY to MM/DD/YYYY




Other Names Spouse known as (First, Middle, Last)


Other Names Spouse known as (First, Middle, Last)


Other Names Spouse known as (First, Middle, Last)




Spouses Father (First, Middle, Last)


Spouses Mother (First, Middle, Last)




Comments or other information on your Spouse or your Spouses parents









Last updated 29 February 2010

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