ASCH 

The Association for the Study of Connecticut History

ASCH Membership Application
(Please print this page)

  Name_____________________________  Telephone____________________

  Address___________________________________________  Zip__________

  Affiliation________________________________________________________

  Areas of Interest___________________________________________________

 

Enclosed is my check for $__________ 
  (Please make all checks payable to ASCH.)
 
  Dues:  $15 Student Membership                    
$30 Institutional Membership
(Connecticut History Only)
$30 Individual Membership  

Or mail to: Treasurer, ASCH   
P.O. Box 647
Tolland, CT 06084