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ApplicationClick on printable view icon to print application. Please fill out completely. Please email Captain Jefferies for his address to mail him the application. Thank you.
6th Regiment Kentucky Volunteer Infantry, Company C, Inc.
A Civil War Reenacting and Living History Non-profit Company
Membership Application
Name (please print) __________________________________________________ Spouse/Children (if joining) ____________________________________________ Address _______________________City ____________ State _____Zip ________ Phone _________________________ Cell Phone ___________________________ Email ___________________________Medical Info _________________________ Please check one. ______ 6th Kentucky Infantry, Co. C ______ Civilian 6th Regiment Kentucky Volunteer Infantry, Company C, Inc. is not responsible for damage to or loss of personal property or personal injury. I have read and agree to abide by the Unit guidelines. Sign _____________________________________Date____________ |
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