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Please use this form to tell me about yourself and your relationship to the Wells family name - it will only take a minute and will help me to check or add to my information. After submitting the form you can reset it and fill in further forms for other family members if you wish.

Please identify and describe yourself:

Full Name  
Maiden Name
(if applicable)
 
Date of Birth: day   month year

Sex 

Male Female

I am a Wells related by birth:

Yes
No

If Yes - Name of your spouse or partner

I am a Wells related by marriage:

Yes
No

Name of nearest Wells relative:

First & Middle Only  WELLS

If related by birth is the above named person your;

 

His or Her Spouse's Full Name at birth

May I hold this information on computer ?

Yes
No
Don't know (contact me)

May I contact you if necessary for further information ?

Yes
No

If you have answered YES to the last question please enter your e-mail address in the space provided below: 
(No e-mail address? Then please advise another method of contact in comments box below).

 

Any other comments or information:


Lyn H. James
Copyright © 2000. All rights reserved.
Revised: 12 Feb 2009 18:41:27 -0500 .