Membership Form

Join us as we undertake the task 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 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 the museum c/o the Museum Secretary, 28 Campert Dr, Ashford, Ct 06278 or via email to Andrea Palmer.

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

Museum of Connecticut Glass c/o
Andrea Palmer, Museum Secretary
27 Campert Dr.
Ashford, CT 06278

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)