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Ohio Birth Index Order Form


Secure Server


When ordering please fill out all fields below.

* Please enter the Date of Birth, City and County you are requesting, with any other details of your request.

Please make your selection.
    Quantity

* Name as it appears on card

* Address

* City                                                 State         Zip

*Please Check Card Type.

* Card Number..................................................02/98
- - - * Exp. Date

* E-Mail Address (required)

* Phone in case I need to call.

*