Suite 1100 – 66 Slater Street, Ottawa, ON K1P 5H1
Tel: 613-798-1006 | Toll-Free: 855-798-1006 | Fax: 613-722-4225
E-mail: info@mnoregistry.ca
Web: metisnation.org
CHANGE OF ADDRESS FORM
My Citizenship Card number (if applicable):
Name:
Date of Birth:
OLD ADDRESS:
Street Address:
Apartment or Unit #
RR # PO Box:
City/Town: Province: Postal Code:
Phone number:
CURRENT ADDRESS:
Street Address:
Apartment or Unit #
RR # PO Box:
City / Town: Province: Postal Code:
Phone number:
Mobile Phone number:
Email:
Do you wish to receive a replacement Citizenship Card?
Last
First
Middle
Signature: Date:
Please keep
signature
within the box.
MM / DD / YYYY
MM / DD / YYYY
MÉTIS NATION OF ONTARIO
Citizenship Card Replacement:
Yes No
*** Updated photos are required if your previous card was issued more than 3 years ago. ***