FAMILY UPDATE FORM

PRINT OUT THIS FORM
and use to submit family updates/changes.
Incomplete submissions result in delays and added
volunteer hours to find missing information.

DEATHS (Fallen Branches)

Name of Deceased:_________________________________________________

Genealogical # of Deceased:__________________________________________

HELP - Don't Know the Number!
Send email to: JMA Director of the Record,Caryn L. Anderson

Date of Death:______________________________________________________

Place of Death (City, State)____________________________________________

Location of Burial___________________________________________________

Unless otherwise indicated, this information will be published in the Line News
of The Historical Journal.

_____ I'm submitting a photo and/or an article for The Historical Journal to
             accompany this announcement.

Email a JPEG format photo to Cindy Leigh, Journal Editor.
Email a Microsoft Word document for the article.

Or, mail to Cindy Leigh, JMA Journal Editor
1201 Shaker Drive, Herndon, VA 20170

Include a self-addressed and stamped envelope if you'd like your photo returned.

Name & Geneological # of Person Submitting This Information:

________________________________________________________________

email:___________________________________________________________

Date Submitted: ___________________________________________________