Czech Running Account

Embassy of the Czech Republic

Address
3900 Spring of Freedom St.
Washington D.C. 20008

VISA Office Phone
(202) 363-6308

Phone
(202) 363-6315

E-Mail
177000.1723@compuserve.com

Fax
(202) 966-8540

Web site
http://www.mzv.cz/washington/

Application for genealogical research in the form of running account from the Czech Republic

1. Name and address of applicant:

2. Relationship between applicant and person to be searched for:

3. Information on the person searched for:

• Name      
• Date of Birth
• Place of Birth
• Further identity of the locality (county, parish or larger town nearby)
• Name of the Father
• Name of the Mother
• Religion
• Other information(optional)

4. Relatives of the person being researched for (optional, but very helpful)

• Husband or Wife Name
  a. Date and Place of Birth
  b. Date and Place of Marriage
• Children
  a. Name
  b. Date and Place of Birth
  a. Name
  b. Date and Place of Birth
  a. Name
  b. Date and Place of Birth
  a. Name
  b. Date and Place of Birth
• Brothers and Sisters
  a. Name
  b. Date and Place of Birth
  a. Name
  b. Date and Place of Birth
  a. Name
  b. Date and Place of Birth
  a. Name
  b. Date and Place of Birth

5. I would like to have specified birth dates of all brothers and sisters of direct line ancestors: (indicate Yes or No)

6. My limit on research charges (in U.S. Dollars): $

Date:
Signature:

Send no payment now for the running account, you will be billed at the completion of the research based on the limit you stated and the results of our research.

Name and address of applicant: