Join us as we undertake the tasks of preserving this early glassworks site and of educating the public about glassmaking and its history in Connecticut.

The museum is located in Coventry, CT, at the intersection of North River Road and Route 44. Membership is open to all.

Membership categories are intended to reflect various levels of support for the Museum's development and operational costs.
Note: These may be tax deductible to the extent allowed by the IRS.

Questions may be directed to Noel Tomas at LSAMOT@cox.net.

Please print and fill out this membership form, and mail it along with your check to:

Museum of Connecticut Glass c/o
President Noel Tomas
27 Plank Lane
Glastonbury CT 06033-2523

Name(s):	_________________________________________________________________________________
	_________________________________________________________________________________
Address:	_________________________________________________________________________________
City/State/Zip:	_________________________________________________________________________________
Home phone:	( ____ )  ________________
Email:	____________________________________________

Membership Categories (please select one and remit with your personal check)
	$10	Single membership			$15	Regular family membership (up to 2 persons)
	$30	Special membership (up to 2 persons)			$40	Sustaining membership (up to 2 persons)
	$75	Supporting membership (up to 2 persons)			$100	Donor membership (up to 2 persons)