Join/Upgrade to Lifetime Member – Connecticut Ancestry Society

Lifetime Member Application

Member Full Name

Enter your full legal name to match government issued photo identification.

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email

Existing Membership Number

If you have it handy, otherwise, we can match against the name, address, or email. New members leave blank.

Lifetime Individual Memberships (electronic journal)

Lifetime – $750.00

Choose one level of membership

Add-on for Paper Journal

US-only postal journal – $300.00

If you would like a paper copy of the journal delivered via the postal service and live in the US, choose this option. We are not able to accommodate paper journals to other countries.

Add-on for Additional Card (same household)

Additional family card – $300.00

Choose this if you would like a second card for someone that resides in your same household limited to the member’s lifespan.

Paypal Layout Phone

Name for Additional Card

Enter the name to be printed on that second card.

Total

$0.00

Checkout with Paypal

Card Number

Expiration Date

Security Code

Card Holder Name