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OUT THIS FORM ADOPTIONS Persons
must be legally adopted Full
Given Name of Adopted Person: Date
of Birth of Adopted Person: City
and State of Birth of Adopted Person: Full
Name and Genealogy Numbers of Parents: _______________________________________________________________ HELP
- Don't Know My Number! Send email to: Mailing Address of Parents:__________________________________________ Email
of Parents:__________________________________________________ IMPORTANT! Give
the order number of this new cousin... Unless
otherwise indicated, this information will be published in Line News _____ I'm
submitting a photo and/or article for The Historical Journal to Or,
mail to Cindy Leigh, JMA Journal Editor Include a self-addressed and stamped envelope if you'd like your photo returned. Name & Geneological
# of Person Submitting This Information: email:______________________________Date Submitted:________________
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