Are you part of the Milsteins!

While you may choose to answer all, some or none of them, the more information you provide, the easier you will make it for us to establish a family link, if any.

(See privacy statement) 

(Some members of the family spell their last name with one L, others with two L's.)

You could help us greatly if you could answer the following questions:
* = These fields are required

First Name : *


Middle Name :


Last Name : *


Address 1 :


Address 2 :


City : *


State/Province : *


Country : *


Zip/Postal Code : -


Phone : Day Number


Evening Number


E-Mail : *

Please allow other possible family members to e-mail me


Date of birth :
Year : *   Month : Day :


Homepage :

I would like for you to provide a link back to my homepage
(We would appreciate a link back from your sight if you have one.)


Occupation :   Specify :

Industry :




To help us determing if you might be a member of a branch of the
Milstein Family tree, we'd appreciate it if you would try to answer the questions below:


Where did your Milstein family relatives come from? : *
(Countries, Provinces &/or Towns that your oldest known Milstein family member originated from (and perhaps who and when). -- If you don't know, just say so.)


What cities, that you know of, in the US where Milstein relatives reside and their names (if known)? :
...Since they may be in our records already, this may help us to connect family trees.


Do you think you are related?   Yes No


Names and birthplace of the oldest relatives your family can recall both living and deceased:


Name 1:

Birthplace 1:		 Check  
if
living:		Est.
birth
year
     
Name 2: Birthplace 2:
     
Name 3: Birthplace 3:
     
Name 4: Birthplace 4:
     

My Religion :

Observance level :

Tell us something more if you would like:

Would you like to join our email discussion list when started?
Yes No

Set up a new web page with my data so other
possible family members may view my data :
Yes No

How did you hear about our web site ?

or

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Privacy Statement:

It is our intent that information which you supply will NOT be published on the Internet or elsewhere without your permission and that:
It will not be given to others for soliciting or spam / Unsolicited Commercial Email.
It may be given to other Milstein family members, or used for a private Milstein family email list unless you notify us otherwise and let us know that you object to having your information given to other Milsteins who are exploring their family roots, etc..
If you request a public link, current public information and/or the information you provide - for that link - may be made public.  While we are determined to follow this policy, we will not be held legally liable by it in any way.


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