Print out this form, fill in the details and post it with the fee of UK£20 or $35 for 1901 census in N.Ireland. Or UK£30 ($48) for 1901 Rep. of Ireland and 1911 all Ireland. Make the cheque payable to Martin McGoldrick. and post it to.
Emerald Ancestry (Census Dept.), 504 Ardowen, Craigavon, Co. Armagh, N.Ireland. BT65 5EQ.
Ancestor's Name: ___________________________________________________________
Which Census: _____________ (please check via email if census has your particular area available 1901 census has every county available)
Which County : _________________________________________________
Town or City: _____________________________ Street Name _________________________
Ancestor's approx date of birth: ____________________________
Ancestor's religious denomination: ________________________
Ancestor's name of spouse: ______________________________
Any other Information on your ancestor's That will help us in locating them:
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Your Details:
Email address: _________________________________________
Please fill in you name and address below:
:_________________________________________________________________________________
:_________________________________________________________________________________
:_________________________________________________________________________________
:_________________________________________________________________________________
Please allow 12 to 14 weeks to receive Census Forms that were requested
Return to Census Records
Or email us 
martin.mcgoldrick@virgin.net