How to become a member :

Please provide the following informations about yourself in order to become a member of the Association.

  • First and last name
  • Address
  • Postal code
  • Phone (home)
  • Date of birth
  • Sex
  • Profession
  • E-mail address (if you have one)
    •

    Send this information and your annual contribution of 25$ (canadian dollar) to the following address :

    Aurèle Pelletier, accountant
    3385 Côte Richelieu
    Trois-Rivières-Ouest,
    Qc, Canada, G8Y 3J6

    You can also PRINT this form : CLICK HERE (It will open in a new window)

     

    ©Association des Familles Pelletier Inc.