NAME:

ADDRESS:

CITY:

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COUNTRY:

ZIP CODE:

HOME PHONE:

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My donation is to research the genealogy of:



I hereby certify that I belong to The Church of Jesus Christ of Latterday Saints, hereafter LDS Church (or another bona fide religious denomination or church that instructs its members to conduct genealogical research for religious reasons) and that the purpose of the designation is to comply with the teachings of my church to compile genealogical information along family lines in order to conduct temple ordinances (or other bona ride religious rites taught by my church) which require compilation of genealogical information along family lines. To the extent I am able to do so, I hereby consent to all information I provide, or which is acquired as a result of this contribution being contributed to the Ancestral File of the LDS Church.


I DO NOT wish to suggest genealogical research along any specific family line, but intend the Religious Family History Corporation to be free to select the genealogical lines which will be most advantageous for genealogical research.