Registration Form
Unit Name:
E-Mail:
Contact Person:
Street Address:
City, State, Zip:
,
Phone:
Fax:
UNIT STRENGTH
Men at Arms:
Civilians:
Camp Followers:
Children:
Wedges:
Dining Flies:
Artillery:
Insurance?
Comments:
Or print this page and mail it to:
Richard Swartwout
Capt., 6th Connecticut
627 Route #6,
Andover, Ct. 06232
Phone/Fax: 860-742-9843
