You may make a payment or renewal at any lecture, event or at the AGM.

Alternatively, you may make a cheque of $5 payable to "Société historique Beaurepaire-Beaconsfield" and mail it with the form to:

Société historique Beaurepaire-Beaconsfield
469 Jubilee
Beaconsfield QC
H9W 2G2 

_________________________________________________

First Name

Family Name

Address

City

Postal Code

Phone

Email

Email notifications No/Yes

 Would you like to help us? No/Yes

 If so, please indicate what kind of help you would be able to offer: