APPLICATION

American Schleswig/Holstein Heritage Society (ASHHS)

CLICK HERE TO PRINT APPLICATION

Membership Application
Dues: . . . . . . ……..Annually. . . . . . .5 YEARS(Includes Lapel Pin) LIFETIME (Includes Pen & Pencil Set & Plaque)
Individual ______ $24 _______ $115 ___________ $650
Joint __________$28 _______ $130 ____________ $1000
Foreign ________ $35 _______ $160 ___________ $1300 (Newsletter to be mailed outside the USA.)

Date:_____________Amount $_____________ Check #___________ (Circle) NEW.. or.. RENEWAL
Name (First, Middle, Last): ____________________________________________________ Spouse:___________________________

Address: ___________________________________________
City/Town: ____________________________________________
State: _________________ Zip+4: _____________________ Phone: _______________
E-Mail Address_______________________________________

Make checks payable to:
ASHHS
P.O. Box 506
Walcott, IA 52773-0506 U.S.A.

CONTACT INFORMATION:
E-mail address: ashhs@ashhs.org
Telephone: 563-284-4184
Website: www.ashhs.org

The ASHHS Office and Library is located at 121 W. Bryant St., Walcott, IA (2nd floor of the Walcott American Legion Building)

Our membership year is from January 1 through December 31.

New members joining Late in the year will have a paid membership through the following year.