East Clare Heritage - Application form for genealogy research

To print this form simply press the PRINT button.

Your name :

Your address :

Name of ancestor to be researched :

Birth Place of ancestor(s) :

Approximate date of birth :

Parent name(s) :

Religious Denomination :

Occupation or trade :

Did your ancestor marry in Co. Clare?

If yes, to whom and approximate year?

Date of Emigration if known :

There is a minimum deposit of 105 euro, after which you will be billed only if further research is required.

Post to:  East Clare Heritage
              Tuamgraney,
                Co. Clare,
                  Ireland.

Important :
Photocopies of original documents in which names or place-names are written would help.
Please supply any additional information which may be of assistance in our research.