Military Unit & Commander's Name:  

Mailing Address:  

City, State & Zip:

E-mail: 

Unit Type (USA or CSA):  (PLEASE BE PREPARED TO GALVANIZE!)

Total Registering, including dependents in period clothing:

# of Infantry: 

# of Artillery:

# of Medical:

# of Civilians:

# of Artillery Pieces:

ROSTER OF REENACTORS:

1.            7.  

2.                8.  

3.                9. 

4.           10. 

5.              11. 

6.              12. 

If more space is needed to list Reenactors please list below with a coma after each name:

UNATTACHED MILITARY AND CIVILIAN REGISTRATION FORM

If you are not with a unit or portray a civilian please use this form.

Military personnel will be assigned a unit upon arrival

Name:

Mailing Address:

City, State & Zip:

E-mail:

  Military    USA    CSA

  Civilian

PLEASE LIST ALL MEMBERS IN YOUR PARTY:

MAIL CHECK OR MONEY ORDER TO:

BATTLE OF EDDYVILLE

PO BOX 234

EDDYVILLE, KY 42038