ICHE Membership Application

Name:

Affiliation:

Address:

City:

State:

ZIP:

E-Mail:

Area(s) of Interest:

 

 
Basic Membership is $15.

Please make check payable to Indiana Association of Historians and mail to:

Gregory H. Mobley
IUPUI University Library
755 W. Michigan St.
Room UL 0133
Indianapolis, IN 46202-5195
  
You may make an additional contribution to the following special projects:
  • History Education
  • Public Advocacy
  • Thornbrough Fund
  • General Fund

Indicate the special project(s) on your check.

 

An acknowledgment will be sent to the e-mail address given above. If it does not arrive promptly, notify nconner@iupui.edu or call 638-1500 or 800-675-8897 ext. 128.

 

PRINT OUT THIS FORM BEFORE CLICKING ON THE "SUBMIT" BUTTON