Military and Civilian Registration Form
Instructions
You will need to download and/or print this page AND the next page,
which will serve as your registration for this event. ALL
registrations are to be done individually, although unit commanders
may take a mass registration from their individual members and send
it in with one check. Nevertheless, each member must still fill
out and sign the forms individually. There will be no exceptions to
this rule. Any registration sent in without a fee will be
rejected. We will be posting a roster of those who have
registered for the event on a bi-weekly basis starting December 1,
2011 and continuing until April 15, 2012.
Unit Name (include company) __________________________(if no unit affiliation mark NA)
Battalion Affiliation ___________________________(or)
I am attending this event as an independent and would like to explore association with compatible individuals. (check if yes)__________
Requested rank at McDowell 2012___________ Commanding Officer at McDowell 2012________________
Your Name _______________________________
Your Street Address ________________________
Your City, State, Zip Code _______________________________
Your Area Code/Home phone ____________________ e-mail address ___________________
Registration Fee is $24.00 per person. (Make checks/money orders payable to Highland Historical Society)
Participant Information US Military ______ CS Military ______ Period Civilian ______
(check one)
Please Mail all registrations to:
R. K. Denton Jr.Co. K, 37th VA Infantry
424 S. Loudoun Street
Winchester, VA 22601
(Continue on to the next page)