Association des familles Lemire d'Amérique inc.
RESERVATION COUPON

To reserve your place for Québec 2008
and for our 20th anniversary of existence

ROOM AND BOARD AT THE MARISTES FATHERS HOME
please fill the questionnaire before printing or sending

Your member's no.
Family name First name
Address City
Province/State Country
Postal code
/ Zip code
Email
Telephone Fax no.
Qty of participants
Room per pers.
3 meals/pers
Room per pers.
2 meals/pers
Banquet of 20th ann.
to advise.... $/pers. extra
Total amount or note
IMPORTANT : N.B. No refunding is possible by the Association
since the spent costs will be guaranteed in your behalf.
Thank you for your comprehension.

Once the questionnaire is filled, please address your check or money order to: Association des familles Lemire d'Amérique inc. and mail everything to :

Association des Familles Lemire d'Amérique inc.
Mme Reine Lemire (025)
80 Grande-Allée St.
Trois-Rivières, (Québec)G9B 7R6

OR IF YOU PREFER TO SENT IT BY REGULAR MAIL

Page updated June 01, 2008