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Membership Chairman: Randy Lege', P. O. Box 1523, Abbeville, LA 70510
We Invite You To Join
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L'Association des Hébert du
Monde
Annual membership is valid from January 1 through December 31 each year.
All members in good standing will receive the Association's newsletter [La
Gazette HÉBERT], and
free admittance to family reunions held by the association.
Membership Application
Type of Membership (circle one): Single ......$5.00 per year
Family ...........$5.00 per year
Member's Full
Name (Nom)(person who is Hebert descendent):
_____________________________________________________________________________
Last (Nom de famille)
First (prenom)
Maiden/Middle(deusiemme prenom)
If you go by a name other than the first name
listed above, please indicate here__________________
Parent's Full
Names (Hebert):________________________________________________________
Grandparent's Full
Names (Hebert):___________________________________________________
(If you have more information on your
ancestors, please send on separate sheet or on back of this form)
Spouse's Full Name_______________________________________________________________
(espoux/epouse)
Last (Nom de famille)
First (prenoum)
Maiden/Middle (deusiemme
prenom)
Address: (Adresse):______________________________________________________________
Street (Rue)
P O Box (boite postal)
City (Ville)______________________State (Etat)____________Country
(Pays)______Zip:______
Home Phone:(
)_____________________Work Phone:(
)___________________________
FAX:________________________________E-Mail:___________________________________
Other family members in your household:
Name:___________________________________ Relationship
to member:__________________
List Others on back of Appllication
Please make checks payable to: Hébert Family Association, and mail
to:
Randy Lege'
P O Box 1523
Abbeville, LA 70511
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