Mail Merge Gateway

Change your Address

If you move your e-mail address, Please let me know
I also need to know the SURNAMES AND QUERIES the address is attached to

Please fill in all the blanks
Also, if more than one surname is listed please send a form for each

COUNTY NAME:
Your OLD E-mail address: Your NEW E-mail address:
YOUR NAME:
SURNAME researched:
Please enter the first surnames included in your queries
The queries are indexed by the first surname on the query
QUERY SURNAME QUERY SURNAME
THANK YOU


This form created and placed here by: Mary Hudson,
This form generated by mailMerge.
If you have a problem please contact me at [email protected] - June 16, 1999 -

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Lincoln D. Stein
Whitehead Institute for Biomedical Research