The Association of the Fournier in America

 

Registration Form

 

Name: __________________________________________

Surname:_________________________________________

Postal address: _________________________________

City: ____________________ Province:____________

Postal Code:________________Occupation:___________

Telephone:__________________Fax:________________

Internet Address:_________________________________

Fee:

Regular member:____________________$15.00 per year__

Life Member:_______________________$ 200.00________

Gift:_____________________________________________

Signature:_______________________________________

Date of registration:____________________________

 

Complete in script and mail the same day!

Write a cheque or postal-note to the order of:

The Association of the Fournier in America

P.O.Box 6700

Sillery, Quebec , Canada G1T 2W2

 

When somebody, named Fournier, Fournier-Larose, Fournier-Belval, or Fournier-Préfontaine, becomes a member of The Association of the Fournier in America, we do our best to supply him with his genealogical ascendance, if he so requires, or according to the information supplied.

 

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This page designed by Armelle Fournier

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