O L I N F A M I L Y S O C I E T Y
VITAL STATISTICS FORM

Please help us keep our genealogical records up-to-date by informing us of events in your OLIN family. The following information may be submitted via our web site at https://olinfamilysociety.org/fm/vital.html or by mailing it to: OLIN FAMILY SOCIETY, C/O TOM OLIN, 8213 BAILEY LAKE ROAD, WATERVILLE NY 13480. Address changes and family line information may be submitted using the OFS Membership Request Form even if you are not a member of the OFS. If filling out a paper copy of this form, PLEASE PRINT NEATLY! If submitting multiple items, you can use the Back button after submission to avoid having to retype your contact information.

SUBMITTER'S NAME	OFS NUMBER, IF A MEMBER
E-MAIL ADDRESS (FOR VERIFICATION, IF NECESSARY)
EVENT TYPE BIRTH ADOPTION* MARRIAGE DIVORCE DEATH**	EVENT DATE
FULL NAME OF BABY/ADOPTEE/DECEASED	EVENT CITY
FATHER/HUSBAND	EVENT COUNTY
MOTHER/WIFE	EVENT STATE/PROVINCE
* ADOPTEE'S BIRTH PLACE	* ADOPTEE'S BIRTH DATE
** BURIAL PLACE	** BURIAL DATE