Census Copy Order Form: Use this form to order a census page copy.

Please Read These Instructions Carefully:   Mistakes will delay your order.
To order a census page copy, please provide as much of the requested information as possible. At a minimum, you have to provide the Head of household's name, page number, E.D. number (for 1880, 1900-1920), locality (Town), county, state and census year. If you do not know this information, it is necessary to first do a Census Index Search (years 1790-1870) or a Soundex Search (years 1880, 1900-1920). Note: Information on other family members is also helpful. 


Name ____________________________________ Tel. No. __________________

Address _________________________________ Apt. No. __________________

City ____________________________________________ State _____________

ZIP ___________________________ Email Address _______________________


We offer several different sizes and formats in census page copies. 
Shipping and handling included on all orders. Want the best copy 
possible? Order our Heirloom Print, quality so amazing you'll think 
we're sending you the original!

8 1/2 x 11 Photocopy. . . . # of copies ______ x $10.00 = ____________
11 x 17 Photocopy. .  . . . # of copies ______ x $14.00 = ____________
13 x 19 Heirloom Print . . .# of copies ______ x $18.00 = ____________
Heirloom Print on CD (TIFF) # of copies ______ x $18.00 = ____________
SAVE! Order both an Heirloom Print and CD for: . $30.00 = ____________
Order a copy of the microfilm roll (35 mm). . .  $14.95 = ____________
                                                  Total = ____________
Make Check or Money Order payable to:
Census Microfilm Expeditors 9802 State Route 24, Moxee, WA  98936
Tel: (888) 436-3256