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Mining Heritage Month Schedule of Events – January 2022
View Your Miner
Was there a miner in your family?
Miners
Was there a miner in your family?
Please note: Fields marked with * are required.
Miner’s First Name
* (Required)
Miner’s Middle Name
Miner's LastName
* (Required)
Confirm Miner’s Last Name (Please retype)
* (Required)
Miner's Picture (Must be smaller than 1MB in size)
Place of Miner’s Birth
Miner’s Country
Arrived in USA
Miner Information
Place & Manner of Miner's Death
Died
Birth Date
Married
Page 2
Place Miner Was Married
Wife's Name
Wife's Middle Name
Wife's Last Name
Place of Wife's Birth
Wife's Country
Arrived in USA
Place & Manner of Wife's Death
Died
Birth Date
Page 3
Number of Children
Child Name 1
Child's Middle Name
Child's Last Name
Birth Date
Child Name 2
Child's Middle Name
Child's Last Name
Birth Date
Child Name 3
Child's Middle Name
Child's Last Name
Birth Date
Child Name 4
Child's Middle Name
Child's Last Name
Birth Date
Child Name 5
Child's Middle Name
Child's Last Name
Birth Date
Child Name 6
Child's Middle Name
Child's Last Name
Birth Date
Child Name 7
Child's Middle Name
Child's Last Name
Birth Date
Child Name 8
Child's Middle Name
Child's Last Name
Birth Date
Child Name 9
Child's Middle Name
Child's Last Name
Birth Date
Child Name 10
Child's Middle Name
Child's Last Name
Birth Date
Page 4
Author's First Name
* (Required)
Middle Name
Last Name
* (Required)
Phone Number
Relationship to Miner
Street Address
* (Required)
City/Town
* (Required)
State
* (Required)
Zip
* (Required)
Email
Are you a human?
* (Required)
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Posted by
wildadmin
on Jan 19, 2016 in |
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on Was there a miner in your family?
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