Québec Family History Society       Store Sales Mail Order Form

This form can be completed on-screen and printed on your printer.
Or you may print it and then fill it out, using CAPITAL letters.

Payment can be made by Visa or by cheque / money order.

Date (Sep/15/1949):   Membership #: 
Full Name: 
Address: 
City:  Prov / State: 
Country:  Postal / Zip Code: 
Email: 

Note: S & H is shipping and handling







Payment method:  Cheque   Money Order   Visa Total order:
For cheque or money order: $ Can    
For Visa:
Exact name on card:
Card number: Expiration Date: /

When completed, mail this form, with cheque or money order to:
The Quebec Family History Society         ATTN : Store Orders
P.O. Box 1026, Pointe-Claire, Quebec
Canada     H9S 4H9