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parent, sibling or friend who enjoys genealogy or who might enjoy reading the articles in Je Me Souviens. This membership would make a pleasing birthday or Christmas
Gift and can be conveniently purchased
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(Please print, complete, and mail this form along with your payment) |
| I would like to purchase
a gift membership for:
NAME:_____________________________________________ ADDRESS:__________________________________________ CITY:______________________________________________ STATE (PROVINCE):________________________________ ZIP (POSTAL CODE):________________________________ COUNTRY: ________________________________________ My Information: MY NAME:_____________________________________________ ADDRESS:__________________________________________ CITY:______________________________________________ STATE (PROVINCE):________________________________ ZIP (POSTAL CODE):________________________________ COUNTRY: ________________________________________ PHONE NO:________________________________________ INTERNET E-MAIL:_________________________________ |
Please send the membership card
directly
Date you would like membership
Gift Member#(if renewal)________________ My Member #________________ |
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| If this is for a gift Family Membership please fill in the additional names that will be part of the family membership. | |||||||||||||||
| See Family membership description for membership requirements. | |||||||||||||||
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CARD NUMBER:_____________________________________ NAME ON CARD:____________________________________ EXPIRATION DATE:_________________________________ SIGNATURE:________________________________________
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