Derby Historical Society

Founded April 18, 1946 to serve the Naugatuck Valley towns of Ansonia, Derby, Oxford, Seymour & Shelton

 

“Celebrating a Proud Past and a Promising Future”

 

Membership Application

 

Membership dues may be left with the Staff at the Gen. David Humphreys House at 37 Elm Street Ansonia during regular business hours or sent to: 

Derby Historical Society

                                                                        PO Box 331

                                                                        Derby, CT  06418

                                                                       

Categories of Membership:

* Life                                                             $150.00

Contributing                                               $30.00                     

 

Name                                                                                                                                                           

 

Address                                                                                                                                           

 

E-mail (if applicable)                                                                                                                   

 

Please send a membership invitation to:

 

Name                                                                                                                                                           

 

Address                                                                                                                                           

 

Simply print this form and return it with your check made out to: Derby Historical Society.

 

* Note – If you already are a Life Member, please disregard. However, the Derby Historical Society

 will appreciate any ongoing support you may feel is appropriate.

 

Thank you for your support!