War on the James, 1864
*FILL THIS FORM OUT COMPLETELY*

Name						
Unit Affiliation                                                                                   
Please circle one:	                               Military Circle One:                                                                                      US             CS          Civilian		         Infantry	       Mounted	    Artillery
Address				         City	                          State	      Zip
Phone Number 				
Email (Required)

Any Specialized Impressions (Mounted/Civilian) must have the permission of the Overall Commanders and or Civilian Coordinator.

All Registrants must meet the Authenticity Guidelines, and will be inspected upon arrival to ensure compliance.

THERE ARE NO WALONS, REGISTRATION IS DUE BY SEPTEMBER 19, 2003

I (the undersigned) declare that I have read and agree to abide by all the rules and regulations for this event.   

                        X

Please remit $20 to cover insurance and miscellaneous costs.  Make checks payable to Don Harrelson (War on the James).               

All proceeds will be donated to the Richmond Battlefield Association.

Mail to:
Laura Harding
1000 Brinker Dr. Unit 202
Hagerstown, MD 21740