Download the form here:  48th AL Membership Form

 

48th Alabama Infantry Reenactors Membership Form

Name: ________________________ Address: ____________________________________________

Phone; Home: ________________, Cell: _______________City/St/Zip: _______________________

Date of Birth: ________________ E-mail: _______________________________________________

What 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 requesting, and any health or physical limitations Applicable: Please use back of this form if necessary).

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Have you ever reenacted before? _____ If yes, please list the unit or units and any organizations that they may be affiliated with:

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Are you currently a member of that unit? _____Do you plan to make the 48th your “home” unit? _____

Please list any medical, physical or health conditions. Please list any medical prescriptions or other medications you are currently taking.

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In the Event of an Emergency We should Contact:

Name: ________________________________ Phone # _____________________________________

Name: ________________________________ Phone # _____________________________________
Your Signature: __________________________________________________

Date: _____/______/______

The 48th Alabama Infantry Reenactors will abide by the National Park Service and Event Host Published age requirements and Safety rules and regulations. Please visit www.48thal.com for more information. Member Dues are $20.00 per household. Make Checks Payable to 48th Alabama.

Mail to:

Stephen Lunsford
8513 Rockhampton St
Leeds, AL 35094