48TH ALABAMA INFANTRY REENACTORS MEMBERSHIP FORM

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NAME:______________________________________ ADDRESS:_____________________________________

CITY, STATE, ZIP:____________________________ TELEPHONE:__________________________________

DATE OF BIRTH ___/____/________ E-MAIL:_______________________________________

Which type of membership are you requesting? ( ) Soldier ( )Civilian ( )Associate

(Please list any other members of your family or household who may wish to be members. Give name, age, type of membership requested, and any health or physical limitations applicable. Feel free to use the back of this application, if necessary):

_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

Have you ever reenacted before? _____________ If yes, please identify unit you've served with and any "umbrella" Organization it may be affiliated with: _____________________________________________________________________________

Are you currently a member of that unit?_______ ___________

Do you plan to make the 48th your "home" unit ?_____________

Do you have any health or physical limitations that, in your opinion, the 48th command should take into consideration at times when the unit is engaged in rigorous activities sometimes associated with reenacting? If yes, please describe:

_____________________________________________________________________________________________________________________________________________

In the event of an emergency we should contact:

Name:___________________________________________________________________Telephone:______________________________________________________

Name:___________________________________________________________________Telephone:______________________________________________________

YOUR SIGNATURE:___________________________________________________________________________

DATE ____/____/_______

Annual membership fee is only $12. 00 per household, and is prorated at the rate of $1 per month for new members joining during the year. If joining in February your fee is $11, March - $10; April - $9 May- $8; June -$7;July-$6;August - $5; September- $4; October - $3; November - $2; December-$1. The full $12 fee comes due January 1st of the next year, and must be paid by April 1st to renew membership. Please send applicable amount by check or money order made payable to Phil McWillaims (not the 48th),  print this form, fill it out,  and return to:

Phil McWillaims

P.O. Box 125

Munford, Al. 36268