MEMBERSHIP FORM
PRINT and FILL
MEMBERSHIP FORM OF THE ASSOCIATION OF THE FAMILIES ROY OF NORTH AMERICA |
| Surname : _________________________________ First
Name : _____________________________________
Date of Birth : _____________________ Place : __________________________________________________ Address : _________________________________________________________________________________ City : ___________________________________________________ Province or State :_________________ Postal Code : ___________ Phone # : Bus.: (_______)________________ Home : (_______)_______________ Occupation ; _______________________________________________________________ My first North American ancestor-If I know : ___________________________________________________ I would like to join the Association as a : Yearly Member 30.00 $* : _________________________ Life member 400.00 $*: ______________________ (*) For the United States and other countries in US money Someone in my family has already joined. His or her number : _________________________ Genealogical information : As a contribution to genealogical research on our families, I hereby provide the following information to the best of my knowledge. If married, give spouse's full name : ____________________________________________________________ Date of Marriage : ____________________________ Place : _______________________________________ Full name of spouse's father : _______________________________________________________________________________ Full maiden name of spouse's mother : ________________________________________________________________________ My father's name : ______________________________________________________________________________________________________ His address : _____________________________________________________________________________________________________ City : __________________________________________ Country: ____________________ Postal or Zip Code : ________________________ My mother's full maiden name : __________________________________________________________________________________________ Date of their marriage : ________________________________ Place : ___________________________________________________________ If your mother's maiden name is Roy, please give her father's name : ___________________________________________________________ My paternal grandfather's name : __________________________________________________________________________________________ My grandmother's maiden name : __________________________________________________________________________________________ Date of their marriage : __________________________ Place : __________________________________________________________________ |
Post to:
Association of the Families Roy of North America
BOX 10090, succ. Sainte-Foy (Québec) Canada
G1V 4C6
| Phone # : (418) 845-0948 | Email : infos@famillesroy.org |