P ALLANTE
CENTER for
ITALIAN
RESEARCH

DOCUMENT SERVICE - ITALY

Military Record

Please sign: I understand that I am paying a nonrefundable fee to "request a search" and
there is no guarantee that the document(s) requested will be found. (Occasionally the document requested may not exist.) __________________________________

First Name of Ancestor: _____________________________Middle Name:____________________Surname of Ancestor: _______________________________

Father's Name: _______________________ Mother's Name: ______________________

**You MUST know the exact date, including month, day and year, otherwise, you must know the names of both parents (including maiden name of mother), and, an approximate year.

Date of Birth: Day____Month_________Year_____
If you don't know the exact year, it is recommended that you do further research to obtain more information before beginning research in Italy. However, if you want to take a chance and guess, you may choose a range of up to three years to be searched:(From:_____To:_____).

Place of Birth: TOWN IN ITALY: __________________ PROVINCE:______________________
*(Be sure to name the province if known--there may be more than one town same name.)
REGION: ______________________________

WHERE SHOULD WE SEND THE RESULTS OF THE SEARCH? (Please print neatly)
Name: ___________________________________
Address: _________________________________
Postal Code: ______________________________
Country: _________________________________
Email: ___________________________________

THANK YOU FOR YOUR ORDER. *Please enclose a self-addressed, stamped envelope. ALLOW 6 to 8 WEEKS. If the search is then reported "negative" or there has been no response from the Italian archives office (usually means "not found"),submit a new request with a new choice of range of dates, name variation, or town name.

PAYMENT METHODS: Credit Card (USA residents Only) VISA, Mastercard, American Express, Discover. (Print Clearly !)
Expiration date: ( ___ /____ Security Code __ __ __ __
Account Number: ________________________________ Authorizing Signatue: ____________________________

Personal Check : Payable to "Pallante Center".

Outside USA: Int'l postal money order (from your local post office), or Int'l bank draft (from your local bank).

Mail this form to:

Pallante Center for Italian Research
Documents - Italy
P.O. Box 4664
Queensbury, NY 12804 USA