Thank you for considering to be a member of our Family Association . In order to process the information accurately, please print this membership form.  Fill in the form in all the appropriate places and mail, enclosing a check or money order, in US Dollars,  to the following address:
 Loubert G. Trahan, Treasurer, Trahan Family Assoc., 9515 La. Hwy. 92 W. , Maurice, La. 70555

Membership Category: (Circle one)    INDIVIDUAL         FAMILY

Name: 
                     (Last)                                          (First)                                             (Spouse)    

Mail Address: 

City:  State / Province:

Country:         Zip/Postal Code: 

Telephone: Email:

Name 1: Birth Date:

Name 2: Birth Date:
Please write other names and date of birth on back side if needed.