Membership Application

 The Illiana Historical Association is dedicated to honoring the sacrifices made by thre men and women of
America's Armed Forces.

Although our members' interests vary, we share a common goal of honoring America's veterans' and helping to preserve
a part of history for future generations. Preservation and restoration of Military Vehicles, Airplanes and other artifacts are
major interests of our members, living history displays, historical battle reenactments, parades, rallies/convoyeys, USO-style
dances and media projects.

Name:_________________________________________________

Address:________________________________________________

City/State/Zip:____________________________________________

Phone#(___) ____ - ________  Cellphone# (___) ____ - _________

E-mail: __________________________________________________

Unit Portraying: ____________________________________________


                     Area of Interest: ( Circle All That Apply )

1. Military Vehicle Preservation/Restoration
2. Military Vehicle Rallies/Convoys
3. Patriotic Parades
4. Living History/ Static Displays
5. Historical Battle Reenactments
6. USO - Style Dances
7. Other (please specify) ___________________________________________


By signing this application, I certify that I am atleast 16 years age, of sound mind, have no felony convictions and do not
belong to any controversial political group. When accepted, I will obey all the rules of the IHA, the laws of the community,
state and the nation. I understand that I am not a member of the IHA until such time as I recieve my membership card.
I understand that if I violate any of the above mentioned policies, membership may be revoked at any time without recourse, 
refund and further membership can be denied.

Signature: ______________________________ Date: __/___/_____

                                                               Yearly Membership Fee:
Member & Spouse $20.00                      Each additional Family Member: $2.00 (Must live in same household)
                             Individual Membership: $20.00



                                                                   Make Checks/Money Orders Payable to:
                                                                             Illiana Historical Association 

                                                                                        Mail Form To:
                                                                                                 IHA
                                                                                          P.O.Box 294
                                                                                      Griffith,In. 46319

                                                     More information about the IHA can be found on our website:
                                                                           
http://www.illianahistorical.com