Formulaire de renouvellement – Association des Familles Messier

Renewal Form

Please complete the following form to renew your membership card for the Association des Familles Messier…

First name and last name

What is your membership number?

Are there any changes to your contact details: address and/or telephone number?

Comments or questions?

ou sous changements

Under which status do you wish to register, and in which format do you wish to receive our journal?

Regular member and log in the format electronic : $20 membership fee
Regular member and log in the format paper : 25$ membership fee
Benefactor Member and log in the format electronic : 50$ Membership fee
Benefactor Member and log in the format paper : 50$ Membership fee
Lifetime Member and log in the format electronic : 225$ Membership fee
Lifetime Member and log in the format paper : Membership fee: $225 + $15 per year

Payment method:

Resident members in the

United States

must pay in US currency.

You can send us

your duly completed form and your check by regular mail

at the following address:

Association des Familles Messier

a/s David Messier

167 avenue Bazin

Laval, QC

H7N 4P9

You can send us

your form electronically (it will reach us as soon as you click the "Submit" button above), and
your Interac e-Transfer by sending it to us at:

famillemessierfamily@gmail.com