REQUEST FOR ANCESTRAL DOCUMENTS
Please complete the following information as thoroughly as possible.
Name of Deceased:____________________________________________
Date of Birth: _________________Date of Death:_____________________
Relationship to Deceased Member:________________________________
Branch Number:_______________________________________________
Contact:_____________________________________________________
Address:_____________________________________________________
_____________________________________________________
Home Phone:______________________Cell Phone:___________________
Email:_______________________________________________________
I would like to have my family story appear in The ZARJA, The Path Taken:
☐ Yes
☐ No
Please send the form along with your check in the amount of $25.00 to:
Slovenian Women’s Union of America
431 N. Chicago Street
Joliet, IL 60432
For questions regarding completion of the form, or any other questions you
may have regarding your request, please contact:
Mary Lou Voelk
Email: ottolou@gulftel.com
Phone: 715.372.8578 or 251.968.4364