Rodrigue Families Association
P.O. Box 10090, Succursale Sainte-Foy, Québec, QC G1V 4C6
E-mail: rodrigue@libertel.org
Web site: http://www.genealogie.org/famille/rodrigue/
F.F.S.Q. # 216
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Rodrigue Families AssociationP.O. Box 10090, Succursale Sainte-Foy, Québec, QC G1V 4C6 E-mail: rodrigue@libertel.org Web site: http://www.genealogie.org/famille/rodrigue/ F.F.S.Q. # 216 |
Print and fill out this form, and send it
to the above-indicated address
together with a cheque to the order of Association des familles Rodrigue
inc.
Formulaire en français disponible
| Name | First name |
| Address | City |
| Postal code | Phone number ( ) |
| Date of birth | Place of birth |
| Occupation (before retiring) | |
Cost of membership:
__ regular membership 20 $ for one year, including the spouse and children under 18 years living at the same address
__ donating membership 40 $
__ life membership 250 $ (possibility of payment with 5 cheques for 50 $ each, over a period not exceeding one year, from June 1st to May 31st)
Cheque or money order payable to the Association des familles Rodrigue inc.
Benefits for members: membership card, meetings, news bulletin, annual meeting, etc.
NOTE :
If you do not know the information asked for below, you can nevertheless send us your membership application
| My spouse's name | |
| His/her father's name | His/her mother's name |
| My spouse's date of birth | My spouse's place of birth |
| Date of our marriage | Place of our marriage |
| My father's name | |
| His date of birth | His place of birth |
| My mother's name at birth | |
| Her date of birth | Her place of birth |
| Date of their marriage | Place of their marriage |
| My grandfather's name | |
| His date of birth | His place of birth |
| My grandmother's name at birth | |
| Her date of birth | Her place of birth |
| Date of their marriage | Place of their marriage |
| My great-grandfather's name | |
| His date of birth | His place of birth |
| My great-grandmother's name at birth | |
| Her date of birth | Her place of birth |
| Date of their marriage | Place of their marriage |
Names and addresses of my brothers and sisters, beginning with the oldest:
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouses's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
Add additional sheet(s) as needed
Names and addresses of my children, beginning with the oldest:
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
| Name | First name |
| Date of birth | Place of birth |
| Address | City |
| Postal code | Phone number ( ) |
| Spouse's name | |
Add additional sheet(s) as needed
Formulaire en français disponible