Phone Number Email
Reasons for enquiry
Family History Academic Research Commercial Research Personal Research Other
Copies Required
Documents Photographs Records Other
Nature of Enquiry (Enter details such as: dates, names, events, buildings, location etc)
Declaration I am willing to pay the basic fee of $35 which will include postage and some photocopies. I understand that before any further expenditure is incurred my prior approval will be obtained.
Yes
Print a copy of this page, and send the completed form and a cheque for $35 to:
Queenscliffe Historical Museum, PO Box 135, Queenscliff, Victoria, 3225.