ORDER FORM  FOR  stato della popolazione   Photocopies

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We provide this service in conjunction with the the Chiesa di San Giacomo Apostolo, Torricella Peligna  (CH) Italia.

 All profits go to the church.

         Chiesa di San Giacomo Apostolo

Print this form, fill it in, and send it  to

Stato della Popolazione 1889

C/O Albert Porreca    
269 Black Baron Drive    
Delran, NJ 08075     USA
 
Include Cashier's Check or Money Order payable to Albert Porreca, or use Paypal

Click here to use Paypal 

A photocopy of the Stato della Popolazione page(s) you request will be sent to you with a letter of appreciation for your donation. It will include the seal of the church, San Giacomo Apostolo, and the signature of the parish priest

Pages Requested (cost per page is 50 USD)   For each request, identify both the Surname and the page no.

SURNAME

PAGE

SURNAME

PAGE
       

 

     

Shipping Information (please print clearly!)     (Fields with an asterisk * are required)

* Your Name
* Street, Number
* City * State/Province
* Postcode
* Country
   Telephone (optional)
* Email address
Payment Details
Included find :
  Money Order   Cashier's Check I paid by PAYPAL     No. of Pages requested _____ x 50 USD  = Total USD _________
Date:__________________

Signature:_____________________________