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Czech and Slovak Heritage Association

CSHA Membership
Annual Dues for 2013 Are $25.00

(per household regardless of the number of people)

  • Wednesday 19th of June 2013 03:49:39 PM EDT
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To join the Czech and Slovak Heritage Association, please complete, print and mail a copy of this form along with your check. Make your check payable to CSHA (The Czech and Slovak Heritage Association).

 

Residents in Eastern PA, Southern NJ or Delaware
Address the envelope to:

CSHA Philadelphia Branch,
P. O. Box 777,
Spring House, PA 19477

 

All others (Maryland, Virgina, DC, etc.)
Address the envelope to:

Charles Supik, Membership Chairman
The Czech And Slovak Heritage Association, Inc.
PO Box 20261
Baltimore, Maryland 21284-0261

 
 
Name:
Address:
City:         State:     Zip: 
Home Phone:    Work Phone: 
FAX:          Cell: 
E-Mail:


In addition to my dues, I want to help preserve the Czech and Slovak heritage by making a tax deductible contribution in the amount of:

Would you like to be listed (Name, Address and Phone #) in the CSHA membership directory?     Yes   No

Please send me information about:

Language School   Yes   No
CSHA Singers   Yes   No
CSHA Volunteer Opportunities   Yes   No

  Last update: Fri Dec 23 16:58:26 EST 2011