RESEARCH REQUEST
      Westminster Historical Society


Please fill out this request form and mail to the Westminster Historical Society
PO Box 177, Westminster, MA 01473.   The research fee is $20 an hour, and therefore it will be to your benefit to provide
as much background information as possible about your request.  Please advise us how much time you would like us to
spend on finding the information.
_______ hour/s.


Person requesting information.

Name ________________________________________        Date _____________

Address __________________________________________________________

City        _____________________        State ___________        Zip ______________

Tel. (Home) _____________________        Tel. Cell________________________

Email ______________________________

Describe your request thoroughly.  Be specific with what information you would like us to find.