Name____________________________________

Affiliation_____________________________

Address_________________________________

City____________________________________

State__________________ Zip____________

Email___________________________________

Area(s) of Interest

________________________________________

Basic Membership ($15) _____

Contributions to IAH Special Projects:
History Education _____
Public Advocacy _____
Taylor Fund _____
Thornbrough Fund _____
General Fund _____

Total Enclosed _____

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

Dr. Darrel Bigham, IAH Membership
Historic Southern Indiana
University of Southern Indiana
8600 University Boulevard
Evansville, IN 47712