KFC Enrollment Form

Please Submit or Print and Send By Mail

Yes, I would like to become a member of the KFC movement through reparational suffering. I have fulfilled the conditions for membership as described up above, and will pursue the purposes of the MI and the KFC.

 

Please enroll me as a KFC on this date:
First Name:
Last Name:
Address:
City:
Province/State:
Postal/Zip Code:
Country:
Email:
Date of Birth:
Phone:

 

I learned about the Knights at the Foot of the Cross from

I wish to support the work of the MI movement with a donation of $  (Thank you!)

 

Additional Comments / Message:

 

Please send your donation as a cheque to:

Militia Immaculata Canada

P.O. Box 21003
314 Harwood Ave. S.
Ajax, Ontario Canada
L1S 2J0
416-465-9466