Membership Application You must be an American Citizen to Join Name: _ Address: _ City: _ Zip code: _ Phone: _ Fax: _ Cell #: _ Email: _ What town in Italy did you or your family come from?: _ What area in the USA did you come from before moving to Pahrump/Las Vegas?: _ Italian-American Membership $12.00 per year Associate Membership $24.00 per year Signature Print this form and mail to: Americans of Italian Heritage 5980 Pahrump Valley Blvd Pahrump, Nevada 89048 Please make your Check Payable to: Americans of Italian Heritage Click to Print This Page