The 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”

2010 Membership Application 2010

Membership dues may be left with the Staff at the Gen. David Humphreys House at 37 Elm Street Ansonia, between 1 PM to 4 PM Monday through Friday, or sent to:

Derby Historical Society

PO Box 331

Derby, CT 06418

Tel. 735-1908

Categories of Membership:

* Life $150.00

Contributing $15.00

Name

Address

E-mail (if applicable)

Please send a membership invitation to:

Name

Address

* 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!