Application Form
Fill in this form for your assessment, you are under no obligation to buy the final product if you complete and send the form. You can drop out at any time before making a payment, we only request that you inform us if you decide not to proceed once you have posted the form.
Please complete as much of the form as possible. Do not worry if you cannot complete it all. When you have finished please submit the form to London and Essex Genealogy. Press the Submit button once only. Please be aware that this is a Long Form, therefore you might want to complete it offline.
First name: Last name:
Title: Mr Mrs Miss Ms Dr
Address:
STD Code and Telephone number:
E-mail: @
Section One: Your Details OR Details of the person whose family you want researched A. Your/their date of birth (e.g. 12/02/1940) B. Your/their place of birth (e.g. Kingston, Surrey) C. Your/their date of Marriage (e.g. 26/06/1961) D. Your/their place of Marriage (e.g. St Dunstan's Stepney, Tower Hamlets)
Section Two: Your/their Parents A.1 Your/their Father's full name (e.g. Henry James Jones) B.1 Your/their Father's date of birth (e.g. 12th February 1940) C.1 Your/their Father's place of birth (e.g. Kingston, Surrey) D.1 Your/their Father's date and place of death (delete as appropriate)
A.2 Your/their Mother's full name (e.g. Sarah Ann Jones formerly Barton) B.2 Your/their Mother's date of birth (e.g. 17th April 1942) C.2 Your/their Mother's place of birth (e.g. Richmond, Surrey) D.2 Your/their Mother's date and place of death (delete as appropriate)
F.2 Your/their Parents' date of Marriage G.2 Your/their Parents' place of Marriage
Section Three: Your/their Grandparents A.3 1st Grandparent's Full name (e.g. your/their father's father) B.3 His date of birth C.3 His place of birth D.3 His date and place of death (delete as appropriate)
A.4 2nd Grandparent's Full name and Maiden Name (e.g. your/their father's mother) B.4 Her date of birth C.4 Her place of birth D.4 Her date and place of death (delete as appropriate)
Your/their father's parent's date and place of marriage
A.5 3rd Grandparent's Full name (e.g. your/their mother's father) B.5 His date of birth C.5 His place of birth D.5 His date and place of death (delete as appropriate)
A4. 4th Grandparent's Full name with Maiden Name (e.g. your/their mother's mother) B.4 Her date of birth C.4 Her place of birth D.4 Her date of death (delete as appropriate)
Your/their Mother's parents date and place of marriage
Do you have any records relating to the above individuals e.g birth, marriage, and death certificates, army records, census returns etc.? If so list them here (e.g. my father's birth certificate, my parent's marriage certificate). Do you want your spouses family researched? Yes No
Are the names you want researched listed above? Yes: No: If so, what are they? (Tip: if you are paying £100 or less it is better to stick to ONE surname for now)
Have you already begun your family tree? Yes: No: Would you like different names researched from the ones listed above? Yes: No:
If you have answered yes to either of these two questions we will contact you in a separate e-mail.
Pick a Price for your research. If you are not sure what to pay go to What should I pay? for some guidance. Check the appropriate button if you want to pay in instalments. Select the Total amount you wish to pay for research - you can add other options below at an extra cost. £100.00 per surname £200.00 (Optional Instalments of £100 per month over two) £300.00 (Optional Instalments of £100 per month over three) £400.00 (Optional Instalments of £100 per month over four) £500.00 (Optional Instalments of £100 per month over five) Other amount (e.g. £150.00). Minimum fee is £100.00.
What type of report would you like? All research comes with a simple loose leaved report, but you can choose special presentation reports here. Simple comb bound report @ £25.00 each Change to '0' if you do not want this option. Deluxe comb bound report @ £70.00 each Change to '0' if you do not want this option.
How many extra copies of the report would you like? Change to '0' if you do not want further copies. Simple comb bound report @ £10.00 per extra report.
Deluxe comb bound report @ £15.00 per extra report.
Would you like a copy of your family tree on CD-ROM? If you own family tree software with GEDCOM compatible features then you can use this new service. Change to '0' if you do not want this service. @ £5.00 each
If yes what date do you need it by? (dd) (mm) (yyyy)
You will need to allow plenty of time as historical research is unpredictable and we cannot guarantee delivery. Choose another later date when delivery would be acceptable.
(dd) (mm) (yyyy)
Would you like to be updated on the status of research? Check the box that applies. No I do not need updating. Yes please update me but with a simple progress report I would like my family tree to be surprise. Detailed update please.
Final Question....
How are you going to pay? Check all that apply. Full amount Instalment Credit Card by secure server from this web site. By UK Cheque in pounds. By Cheque in a currency other than pounds*.
*If you are paying in your own currency you will need to add £5.00 to any full amount paid or £5.00 to each instalment paid. This covers the amount my bank charges me to convert overseas funds in to pounds.