Upper Canada Genealogy

Research Assessment Form

(please do not press return/enter until you have made sure that all your contact information is correct and you are ready to submit the form)
Your Name:   Mr.  Mrs.  Ms  Miss

You would like to be contacted by:

e-mail            Your e-mail address:

Or

telephone      Your telephone number:

                            Best time(s) of day to call:


What is the surname(s) of the ancestor or ancestors you would like to learn more about?

Where did your ancestor(s) live? (please be as specific as you can)

When did your ancestor(s) live at this/these location(s)? (please be as specific as you can)

If possible, please provide the religious denomination, ethnic origin, and occupation of your ancestor(s):

What is your main objective (i.e. what kinds of information are you looking for, how far back do you want to go, which family lines interest you most)?

Could you please tell us how you came to know of Upper Canada Genealogy and our website?

*Please be sure that your e-mail / phone number is correct before submitting*

Upper Canada Genealogy © 2001-2006   Last Updated 18 June 2003