Print and Mail:

 
 

Membership Application

For

La Réunion des Babineaux et Granger

August 16, 2007 through August 16, 2008

________$10 [US] Annual Membership [per household]

________$300 [US] Lifetime Membership

FAMILY AFFILIATION: ______ BABINEAUX ______ GRANGER

NAME _____________________________________________________

SPOUSE ____________________________________________________

ADDRESS __________________________________________________

____________________________________________________________

PHONE (HOME) _____________________________________________

(WORK) _____________________________________________

E-MAIL ADDRESS ___________________________________________

Please make copies for all your cousins and give them an opportunity to belong.

Thank you.

Don Babineaux

Make checks payable [in US dollars] to "La Réunion des Babineaux et Granger" and mail to:      Don W. Babineaux
                                     505 Daniel Drive
                                     Lafayette, LA 70503      USA

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