CLAN MACNICOL SOCIETY OF NORTH AMERICA
MEMBERSHIP APPLICATION FOR CANADA ( 2011 )
I would like to join the Clan MacNicol Society and have attached payment of $35 (cheque or money order).
Please mail the completed application form with payment (in the name of Clan MacNicol Society) to:
Jacques McNicoll, 202 Berlioz, Apt.203, Verdun QC, H3E 1B8 Tel. (514) 564-5431
E-mail mcnicollclan@videotron.qc.ca Website www.clanmacnicol.org
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NAMES AND AGES OF CHILDREN UNDER 18 YEARS OF AGE
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