JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NCGS Look-Up Program Form
Members Only
Sign in to Google
to save your progress.
Learn more
* Indicates required question
New or current member?
*
New member
Current member
Your first name
*
Your answer
Your last name
*
Your answer
Street address (and apartment number, if applicable)
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP
*
Your answer
Email
*
Your answer
Phone
*
Your answer
What type of lookup are you requesting? The first lookup associated with a membership is free. Additional lookups are $6 per obituary or $10 per 30 minute lookup.
*
30 minute lookup
Obituary
FOR OBITUARY LOOKUPS ONLY. Do not answer this question if you are requesting a 30 minute lookup. Provide the name, date of death, and city/town of death. We will search only in a one week time frame if you are unsure of the date.
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Daemen.edu.
Report Abuse
Forms
