SOCIETÀ ITALIANA
Di Mutua Beneficenza Cefalutana
ORGANIZZATA, 19 GIUGNO, 1887 INCORPORATA, 10 AGOSTO, 1887
764 Oak Avenue
Harahan, LA 70123
504-494-6137 Email: joebatt1@aol.com
Website: www.cefalutanasociety.com Facebook: Cefalutana Societa
MEMBERSHIP APPLICATION
To be eligible for membership in our society, you must (1) have been born in Cefalu
or (2) be a direct descendent of an ancestor who was born in Cefalu, that is, parent, grandparent,
great-grandparent, etc. or (3) be the spouse of a current member.
1. Were you born in Cefalu? _____________
If not, name of ancestor from Cefalu ______________________________
2.
Relationship to you ____________________________________________
If not, name of spouse___________________________________________
3.
YOUR NAME
_____________________________________________________________________________
(Last)
(First)
(Middle or Maiden Name)
Home Address _________________________________________________________________
City________________________________ State_____________ Zip____________________
Phone # (_____) _______-____________ Date of Birth (optional)________________________
E-Mail ____________________________ FAX # (_____) ________-_____________________
Name of children under 18 years of age and their dates of birth:
____________________________________
___________________________________
____________________________________
___________________________________
____________________________________
___________________________________
Please remit your dues of $40.00 plus a one-time membership fee of $25.00 for a total of $65.00,
payable to Cefalutana Society and mail to:
Joseph C. Battaglia
764 Oak Ave.
Harahan, LA 70123
A Benevolent Society Organized By Immigrants and Their Descendants from Cefalu, Sicily