O L I N  F A M I L Y  S O C I E T Y
VITAL STATISTICS FORM

Please help us keep our genealogical records up-to-date by informing us of events in your OLIN family. The following information may be submitted via our web site at http://olinfamilysociety.org or by mailing it to: OLIN FAMILY SOCIETY, C/O TOM OLIN, 8213 BAILEY LAKE ROAD, WATERVILLE NY 13480. Address changes and family line information may be submitted using the OFS Membership Request Form even if you are not a member of the OFS. If filling out a paper copy of this form, PLEASE PRINT NEATLY!

SUBMITTER'S NAME	OFS NUMBER, IF A MEMBER
E-MAIL OR PHONE (FOR VERIFICATION, IF NECESSARY)
EVENT TYPE BIRTH ADOPTION* MARRIAGE DIVORCE DEATH**	EVENT DATE
FULL NAME OF BABY/ADOPTEE/DECEASED	EVENT CITY
FATHER/HUSBAND	EVENT COUNTY
MOTHER/WIFE	EVENT STATE/PROVINCE
* ADOPTEE'S BIRTH PLACE	* ADOPTEE'S BIRTH DATE
** BURIAL PLACE	** BURIAL DATE