At the present time, we are accepting applications by mail
only.
Please print this page, fill out and send it to: P.O. Box 148,
West Sayville, NY 11796.
Or for further information phone: 516-798-0492 or 631-924-6133.
please check one
_______ Individual - $20.00
_______ Family - $20.00 for first member - $10.00 each add'l
member at same address
_______ Junior membership - $5.00 (ages 13-17)
Name:______________________________________________________________
Address:____________________________________________________________
City:_______________________________________________________________
State:__________________________________________ Zip:_______________
Phone:____________________________________________________________
E-mail:____________________________________________________________
Please enclose your check or money order made payable to the
Long Island Depression Glass Society (LIDGS) along with a stamped,
self-addressed #10 envelope. Thank you.