Personal Information
* First name:

* Surname:

Address
Street:

Suburb:

Post Code:

* Country:

* Your e-mail address:

Telephone number:

Fax number:

Addition Information:

Please indicate where you heard about us:
I don't remember
Used you before
Search Engine
Word of mouth
Other
If other, please explain:

Service Identifier
Please indicate the required type of service:

Edit Story (I have written my family's story and require editing/proofreading)

Write Story (I require my family's story to be written based on the research)

Research Requirement Information
Please indicate the level of research you wish us to carry out on your behalf:

Research Complete (no additional research required)

Research Incomplete (please follow up on additional leads that I may not have discovered already)

Research Required (I have done little to no research and require the entire research to be carried out.

Additional comments:

Presentation Information
Please indicate how you would like your finished product to be presented:

A5 bound book on 150 gsm gloss paper, and delivered via Australia Post. (Please indicate how many copies:
Please note: the price of a bound copy depends on the number of pages, which cannot be estimated until the work has been completed. At this time a price will be supplied incorporating the individual's requirements. This quote will not include printing cost.

Word document delivered via e-mail

CD-ROM in web page format delivered via Australia Post. (Please indicate how many copies:

Images
Please indicate if you wish to include any of the following:

Photos that I have collected and will supply
Photos that you have found during research
Certificates that I have collected and will supply
Certificates that you have found during research
Other Images that I have collected and will supply.

Additional Comments: