Citizen Soldier
1860 Militia Drill Weekend
Harpers Ferry, NPS
March 5-7, 2010

THIS FORM MUST BE FILLED OUT COMPLETELY.  REGISTRATION FEE IS $10
                THERE ARE NO WALKONS, AND THE REGISTRATION IS DUE BY FEB 21, 2010.

UNIT NAME______________________________________________
AFFILIATION_____________________________________________
CONTACT NAME_________________________________________
ADDRESS________________________________________________
CITY____________________________STATE__________________
ZIP______________________________
PHONE NUMBER_________________________
EMAIL ADDRESS                                     

I have read the rules and regulations for the event, and agree to abide by them.

Signature                                                                                            

 

           
           
MILITARY PARTICIPANTS- $10 EACH

CIVILIAN PARTIPANTS- $5 EACH

TOTAL PARTICIPANTS      __________________

                                             

TOTAL AMOUNT REMITTED ________________

 

RETURN TO:  
Chesapeake Volunteer Guard
8703 Military Post Ct
Fort Washington, MD 20744

Make Checks Payable To: Living History Associates

 

        CONTACT:  CHRIS ANDERS BEFORE 9PM AT 240-818-1284
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The registration fee is needed to cover the cost of the food and logistics.