Association of the Lemire families of America inc.
Online membership application and/or renewal

Personal information.

Correspondence language :
Name :
First name :
Address :
City :
Province/State :
Postal code / Zip code:
Email :
Telephone :
Fax :

Do you accept to have your address and telephone number listed in the Association Bulletin?

Yes No

Type of membership: US or CAN $

Member:        25,00 $ for one year
Family card:   25,00 $ for one year
Life membership: 400,00 $
Benefactor: ______ $

Please write your cheque or money order to the Association des familles Lemire d'Amérique inc.
Click on this link to obtain the Association's address

Page updated June 11, 2007