How to become a member of the Association?  

• Fill in this form,  Print it and Write a check to the order of: l'Association des Familles Dufour d'Amérique inc.

• Mail the check and this adhesion form to : Association des Familles Dufour d'Amérique Inc. (Gérard Dufour, secretary) 65, rue SAUVAGEAU, Trois-Rivières, Québec, Canada, G8T 6B4

• We will mail your membership card as soon as possible

Date (yyyy-mm-dd)

First name: Name:

Door number: app: Street:

Town: Province/State:

Country: Postal Code / Zip code:

Tel: - -

Membership : one (1) year 10$ ; five (5) years 40$ ; ; life 150$