membership application


SURNAME: NAME:
ADDRESS:  APT.:   
CITY:   PROV./STATE:   POSTAL CODE:
TEL. - HOME.: TEL. - OFFICE:
TÉL. - OTHER FAX:
E-MAIL: WEB SITE:
FAMILIES RESEARCHED:
 
EXPERIENCE AND HOBBIES  (for volunteer work purposes):
 

MEMBERSHIP NO.: ASSOCIATE NO.:

NAME AND E-MAIL ADDRESS PUBLISHED ON THE SGL WEB SITE YES: NO:

MEMBERSHIP CARD GIVES ACCESS TO ALL LIBRARY SERVICES AND 4 PUBLICATIONS OF "NOS SOURCES"

INDIVIDUAL MEMBERSHIP: 30,00 $                
ASSOCIATE MEMBER, IF APPLICABLE: 15,00 $                
STUDENT MEMBERSHIP WITH ATTESTATION: 20,00 $                
NOS SOURCES SUBSCRIPTION ONLY 25,00 $  
LIFETIME MEMBERSHIP: 400,00 $                
ASSOCIATE LIFETIME MEMBERSHIP, IF APPLICABLE: 200,00 $                
CORPORATE OR INSTITUTIONAL MEMBERSHIP WITH ONE DELEGATE: 60,00 $               
 

TOTAL  $

 

I ACCEPT TO ABIDE RESPECTFULLY BY THE ETHIC CODE OF THE S.G.L..:
SIGNATURE:                                                                              
DATE:    

SOCIÉTÉ DE GÉNÉALOGIE DE LANAUDIÈRE INC.

200 BOUL. DE L'INDUSTRIE,  CASE POSTALE 221,  JOLIETTE (QC)   J6E 3Z6  CANADA