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Phelps Tavern Museum
Home of the Simsbury Historical Society


REQUEST FOR ARCHIVES ASSISTANCE

Print and mail to: Simsbury Historical Society P.O. Box 2 Simsbury, CT 06070

Today’s date_____________________

Name of Researcher ____________________________________________________

Address_____________________________________________________________

Telephone: Day_____________ Evening____________________

E-Mail (for fastest service) ______________________________________________

SHS Member_______ Non-Member________

Area of Research ___________________________________________________

Specific name being researched: (Use separate page for each name) _____________________________________________________________________

Dates or era being researched________________________________________

Specific Inquiry_____________________________________________________

___________________________________________________________________

Additional information i.e. birth or death date, event, related names: (use other side if necessary)


 

For Internal Use

For Archives Use Only
Researcher ________________________ Contact: ____________________________

Date Answered _____________________ Mail__________________

Copies Made________________________ Telephone______________________

Payment Received________________

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