Memberships will be effective for a full year. Just print off the form below and return with your payment to: UHA Membership, 11 Ford Avenue, Oneonta, NY 13820

Name________________________________________________________________

Title_________________________________________________________________

Organization__________________________________________________________

Address______________________________________________________________

____________________________________________________________________

Phone____________________________ Fax _______________________________

e-mail___________________________ URL ________________________________

County______________________________________________________________

Type of Organization:

______Archives ______Historic House ______History Museum ______Library

______Museum- Other ______Municipal/Town Historian

_______Other____________________________

Membership Category:
____ Individual $35
_____ Organization (budget under $25,000) $50
____ Organization (budget over $25,000) $75
____ Partner $150

____ New Member ____ Renewing Member

_____ Yes, I'd like to be added to the UHA Listserve (UpstateHistory-L)