Gelvin Family Survey
Would you be willing to play a role on a hypothetical “Gelvin Family Trust for Historical Preservation” to consider ways to preserve the Gelvin house in Maitland, MO?
Yes
No
If the trust is created, would you be willing to make a contribution to purchase the house?
No
Yes
How much money would you be able to contribute?
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Your name
First Name
Last Name
Your mother
First Name
Last Name
Your father
First Name
Last Name
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Your birthday
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Please add names and contact info for anyone else you'd like to include.
Rows
Family Member's name
Family Member's Parents
Street
City
State
Zip code
email address
Birthday
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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