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How to become a member
BECOME MEMBER OF EBACHER - BAKER FAMILY ASSOCIATION |
| Your subscription to the Ebacher - Baker Family Association | |
SUBSCRIPTION FORM OF THE ASSOCIATION DES FAMILLES EBACHER - BAKER Identification: Name:_______________________________________________________________________________ Born to: _____________________________________Where:__________________________________ Adress:_____________________________________________City:___________________________ Zip Code:________________Phone: ______________________Office:____________________ Profession/employement::____________________________________Retired:_____________________ |
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| Single Contribution: | 1 year: 20 $ 3 years: 50 $ Life Member: 300$ |
Parents Father's name:_____________________________________________________________________ Born the:______________Location:____________Date of Death:______________In:_____________ Mother's name:______________________________________________________________________ Born the:______________Location:____________Date of Death:______________In:_____________ Date of marriage:______________________________Location:______________________________Grand-father's name:________________________________________________________________ Name and surname of grand-mother at birth:_____________________________________________ Date of marriage:_______________________________Location:_____________________________ Spouse If married, name and surname of spouse:___________________________________________________ Born the:____________________________________Location:_______________________________ Date of marriage:_______________________________Location:_____________________________ Name and surname of spouse's father:_____________________________________________ Name and surname of spouse's mother:_____________________________________________ Please list children, uncles and aunts with date of birth and marriage on seperate sheet, if necessary. |
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| N.B. Send to: | Association des Familles Ebacher - Baker CP 10090 succ Sainte-Foy Québec, Québec G1V 4C6
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