Request for research

Request for research

Gympie Family History Society Inc. 1 Chapple Street, Gympie QLD 4570
Part A - Your details
Name*

First NameLast Name
Email*
example@example.com
Contact number
Mobile or landline
Address

Street Address

Street Address Line 2

CityState

PostcodeCountry

Part B - Your research question
You can give us the details of persons, places or events you are interested in in the fields below.

Or you can attach a document (word or pdf only) with your research so far.
What do you want to know?*

Maximum 2000 characters 0/2000
Persons of interest
Attach document

Max size is 10MB. Accepted formats are pdf, doc, docx, xls, xlsx, jpg, jpeg, png, gif
Cancelof

Part C - Payment
Payment is required before any research is started.

The rates are
- minimum 2 hours of research
- every extra hour of research is $20
- printing and photocopying is $0.50 per page
Tell us how much you are willing to spend on research and extras.
Hours*
2 hours minimum
Extra costs
Printing, copying etc
Total cost $AUD
Payment method*

Online bankingEFTPOSCash
Pay by bank deposit

Bendigo Bank BSB 633-000
Account number 164520546
Refereence RSH - (Name)
Pay in person

We accept cash and EFTPOS payments at the office during opening hours.
Receipt
Date paid
Should be Empty:

Part A - Your details