RESEARCH REQUEST FORM

Mail to: Commission on Archives and History North Central New York Annual Conference United Methodist Church PO Box 1515 Cicero, NY 13039-1515 

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Research Rates: Copy of published Memoir - $10.00 each, in advance Research on Church, Pastor or other Methodist related subject - $20.00 per hour, first hour in advance Photocopies - 3 with each order above, excess $.25 each

Copy of Memoir of:	 (NAME)	




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Please make checks payable to: North Central N.Y. Conference, UMC