Please print this form and complete with as much information as possible about your Thayer ancestor. Enclose fee for non-members is $39.00, $29.00 for TFA members and mail to address below. Make check or money order payable to Patricia Thayer Muno.
Patricia Thayer Muno
Thayer Family Historian
3618 North 225 East
North Ogden, UT 84414 USA
1. Full name of Thayer ancestor:___________________________________________
2. Birth date of ancestor:__________________________________________________
3. Birthplace of ancestor (town/county/state):_______________________________________
4. Death date of ancestor:__________________________________________________
5. Death place of ancestor (town/county/state):______________________________________
6. Marriage date of ancestor:___________________________________________________
7. Marriage place of ancestor (town/county/state):_____________________________________
8. Name of ancestor's spouse (maiden name also:)___________________________________
9. Places of residence prior to
1920:___________________________________________________
_______________________________________________________________________________
10. Any additional information:_____________________________________________________
MAILING INFORMATION
Full Name:_________________________________________________________
Mailing Address:_____________________________________________________
__________________________________________________________________
City, State:_________________________________________________________
Country, ZIP/Postal Code:_____________________________________________
E-Mail Address:_____________________________________________________
[ ] YES. Please send me my personalized Pedigree. I am returning this form and check or money order for
$39.00 ($29.00 for TFA members) in the amount below:
TOTAL AMOUNT OF SALE: $______________
PLEASE ALLOW TWO WEEKS TO CREATE AND SHIP YOUR PEDIGREE.