Please print this form and mail it to us with your payment. Thank you.

The Penfield Homestead Museum

703 Creek Rd
Crown Point, NY 12928
(518) 597-3804

Information Request Form

Please use one form for each surname request, $30 per surname. Information will be sent upon receipt of payment. Fees are non-refundable and are used to maintain our research center.

Penfield Homestead Museum cannot guarantee the amount of information each search will produce.

We will do our best to provide you with what we have on site and if nothing is found,we will attempt to direct you to other possible sources.Your patience is necessary as the research is done as quickly as possible.Thank you for allowing us to assist you in your research!

Today's Date: ______________________



Given Name(s)


Dates (if known)


Fee Enclosed:

$30 per surname ________ for the 1st 10 pages

Each additional page - 25cents

Historical information requested: __________________________________________________

Your name and address





Your email is critical - we will email the first ten pages of research instead of regular mail unless otherwise requested.


Penfield Foundation, Inc. is a 501 (c) 3 non-profit organization

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