DV Submitter Request Form

"The Pomeranian People"

QUARTERLY PERIODICAL FOR THE DESCENDENTS OF THE BALTIC DUCHY OF POMERANIA

Immigrant Genealogical Society
P.O. Box 7369
Burbank, CA 91510-7369, U.S.A.

Dear Librarians:

Please send me last known address for the Die Pommerschen
Leute submitters that correspond to the following entries in
the Village Index:

Village Name ...... County Name ..... Submitter Number

1._____________________________________________________________

2._____________________________________________________________

3._____________________________________________________________

4._____________________________________________________________

5._____________________________________________________________

I have included a donation of US$5.00 for the submitter addresses of up to five Village Index entries.

Please send the information to:

Name:___________________________________________

Street:___________________________________________

City:_____________________________________________

Zip:_____________