The Gagnon and Belzile Families















 

 

Become a member


 

 

 

 

 

 

 

 

Registration form for new members

* Indicates a required field

This form is intended for those who are not members of our association or wish to renew their memberships or to update the information.

  Membership number:
*Name: *First name:
*Address: *City:
*Province/State : *Country :
*Zip/Postal Code: *Phone: Birth year: (YYYY)
*E-mail address for sending of «La Gagnonnière» bulletin:
Membership fee with "The Gagnonnière" by mail or digitally (via email) for the following period:
 
I want to make a donation:

Genealogical information
My ancestor is:
My birth date: (DD-MM) location: Profession/job: Retired:
Name and first name of my father: Birth date: (YYYY-MM-DD)
Location:
Death date: (YYYY-MM-DD) Location:
Name and first name of my mother: Birth date: (YYYY-MM-DD)
Location:
Death date: (YYYY-MM-DD) Location:
Their wedding date: (YYYY-MM-DD) Location:
Partner
Name and first name of my partner:
Birth date: (YYYY-MM-DD) Location
My wedding date: (YYYY-MM-DD) Location:
Name and firstname of my partner's parents:
Father: 
Mother:
Please list, on another sheet, name of your children, brothers, sisters, uncles, aunts, with date of wedding, of death and location.

Mail this form with your check to:
 

Les familles Gagnon et Belzile inc
A/S de M. Jean Belzile
1176, rue Nelligan
Saint-Félicien (Québec) G8K 1N2

 
For information: Jeanbelzile@sympatico.ca
 
 
 

 

 

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Les familles Gagnon et Belzile inc.
650, rue Graham-Bell, bur. SS-09
Québec (Québec) G1N 4H5


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