Please answer the following questions.

Who is the story about?

[ ] Individual	[ ] Direct Line Ancestor(s)	[ ] Single Line of Descent
[ ] Other

Name(s) & Relationship: 

Where does the story take place?

City / Town:
County:
Country:

When does the story take place?

[ ] Day	[ ] Month	[ ] Year
[ ] Decade	[ ] Lifetime

List the details:

How do want the story to be written?

Style:	[ ] Narrative First Person		[ ] Narrative Third Person
Type:	[ ] Historical Fiction		[ ] Chronology of Events
Length:	[ ] Paragraph	[ ] Page	[ ] 3 Pages or More
Theme:	[ ] Childhood	[ ] Marriage	[ ] Military	[ ] Immigration
	[ ] All of the above	[ ] Other
Format:	[ ] Single Story	[ ] Collection of Tales, Family Sayings,      Legends, Memories

Does your story have a name?  

What do you want the story to say?

(Give a brief description.  Continue on back if necessary.)

We will conduct a phone interview for more information before we begin work.

Name: _______________________ Phone: ____________ Call: [ ] Day  [ ] Evening