Obituary/Death Notice Order Form

(Please Print)

The Adams County Historical Society holds the respective obituary and death notices noted in this listing. The fee for each obituary or death notice “look up” is $10.00.  All completed orders are mailed first class and the photocopy and postage is included in the total. Orders may take up to two weeks to complete. Payment may be made by Check or Money Order (Made Payable to ACHS) or Master Card or Visa. Orders by credit card may be faxed to 717-334-0722. Orders by Check and Money Order should be mailed to the following:

 

The Adams County Historical Society

ATT: Obituary/Death Notice Request

P.O. Box 4325

Gettysburg, PA 17325

 

 

Name_____________________________________

 

 

Address___________________________________[1]

 

 

Telephone_________________________________

 

 

Email_____________________________________

 

 

Name of Decedent___________________________

 

 

Newspaper__________________________________

 

 

Date Of Notice or Obituary_______________________

 

 

PAYMENT INFORMATION

 

Check___________ (Enclosed)

 

Money Order______ (Enclosed)

 

Credit Card________________ (Master Card or Visa)

 

Credit Card Number__________________________

 

Name on Card________________________________

 

Expiration Date________________________________

 

 

 

 



[1] When ordering by credit card the address given must match the credit card billing address on the monthly statement.