Island Heights

Historical   Site

Island Heights Cultural & Heritage Association 

The "Cottage" Museum

105 Simpson Avenue

P.O. Box 670

Island Heights, New Jersey

08732-0670 

MEMBERSHIP APPLICATION

__ YES! I would like to Join The Island Heights Cultural and Heritage Association

The IHCHA membership year runs from January I through December 31. Dues are $10.00 per person per year, or $15 per couple living at the same address. Please make your check payable to I.H.C.H.A and mail application and membership fee to:

The Island Heights Cultural & Heritage Association, PO Box 670, Island Heights, NJ 08732 

Name(s)_____________________ 

Address___________________________

(Street & PO)

City/State/Zip______________________ 

Phone_______________________ (Daytime #)

Phone_______________________ (Evening #) 

I would like to give a gift membership to the person below:  

NAME_____________________________ 

ADDRESS_________________________ 

CITY/STATE/ZIP_____________________ 

__I would like to further support your goals through a tax-deductible contribution to 'The Cottage  Museum

Amount enclosed $_________________