REGISTRATION FORM
THE BATTLE OF DRY CREEK
149TH ANNIVERSARY RE-ENACTMENT
AUGUST 18-19, 2012
· Pre-registration, if received prior to July 1, 2012 - $5.00
· Registrations received
after July 1, 2012 and walk-ons - $10.00
· Children under 12 FREE
· First 25 pre-registered Union infantry and first 25 Confederate Infantry will have their registration fees rebated and receive
a powder ration. First 5 Artillery units receive a $100.00 powder bounty.
Please print this form, legibly fill
it out and mail it to:
The Battle of Dry Creek Committee
P.O. Box 211
Lewisburg, WV 24901
Your Name: ______________________________________________________________________
Your Unit: _________________________________________________________________________
Mailing
address: ___________________________________________________________________
___________________________________________________________________
E-mail address: _________________________ Phone
# ( )_____________________________
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(Circle
ALL appropriate)
FEDERAL or CONFEDERATE
INFANTRY ARTILLERY INFANTRY CALVARY or CIVILIAN
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IF
ARTILLERY, HOW MANY GUNS? ___________ TYPE OF GUN? ________________
IF CALVARY, HOW MANY HORSES?___________________
IF
YOUR UNIT IS NOT ATTENDING AND YOU NEED TO BE ASSIGNED A UNIT CHECK HERE ___________