London & Western Ontario Branch UELAC Certificate Application Fee

London & West Ontario Certificate Application Fee

Please enter the details provided by the branch genealogist. In the "Notes" field, include the name of the Loyalist ancestor. If you are payng for someone else's application, indicate their name.

If you are paying for multiple applications, include the name of each Loyalist, and each applicant, as applicable.

Application Fee $ *

Total Amount

Personal Details

First Name *

Last Name *

Email *

Notes

Please name the Loyalist ancestor(s) your certificate pertains to and any other notes.