1841 Census—South Australia

To purchase the full details of an entry in the 1841 South Australian Census complete the form and forward to Adelaide Proformat.

Contact Details
Name:		Street:
Town:		Postcode:
Country:		Email:

Enquiry
Name and/or family:	(from database search)

Give further details to assist identification of the correct person/s:
The fee for a SA 1841 Census lookup is AUD10.00 per household. The fee is charged if the search returns a nil result. Note: This fee includes one page - additional pages. are AUD2.00 each.

*All fees include 10% AUS GST - non AUS clients deduct this from the quotation.* If you wish to pay by credit card online, then use the following system, otherwise print out this form and send with your full credit card details, cheque or money order.
Credit card type:
Credit card number:
Name on credit card:
Expiry date on card:	/
CCV number: (last 3 digits above signature)

If you wish to mail your order, please complete the details above and then print this screen.
Enclose a SSAE or IRC for the reply if sending the request by mail or provide an email contact.

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