If you found that I haven't included you, have the wrong information or you just want to send a message to me, please fill out the form below.

The form is for a 2 generation family unit. If you are submitting information for your grandchildren or more generations down the line, just fill out another form with your children at the top.

Please include your name and other information at the bottom of the form so that if I have more questions, I can contact you.

Thank you;
Al Konschak
al@konschak.org

(* not to be filled if not applicable)

Husband:
     
Date Born:
 
where:
Died *
  
where:
         
Wife: (Maiden)
      
Date Born:
  
where:
Died *
  
where:
         
Children:
        
 
Name
Sex
Birthday
Died*
 
 
 
 
 
 
 

 

Name : 
Address : 
City or Town : 
State/Province : 
Country 
Zip / Postal Code 
Phone 
Email 
Your Comments :