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

Formulaire en français disponible

Membership renewal form

NOTE:
Membership period runs from June 1st to May 31 of the next year.

^{Membership No.}
^Name	^{First name}
^Address	^{City, Province/State, Country}
^{Postal code}	^Telephone ( )

Membership cost

___ REGULAR MEMBERSHIP : 20$, including spouse and children under 18 living at the same address

___ DONATING MEMBERSHIP : 40$

___ LIFE MEMBERSHIP : 250$ (possibility of payment by 5 cheques of 50$ over a period not exceeding one year, from June 1st to May 31st)

Print and fill out this form, and send it back together with your cheque (payable to the Association des familles Rodrigue inc) to the address indicated above.

Thank you.