Outwater’s Militia

              Application for Membership   

         Membership must be approved by the membership

Name :             ______________________________

Other joining members (family application):

                       

1.______________________________       3.____________________________

                       

2.______________________________       4.____________________________

 

Address:          ______________________________

 

Home Phone:  ______________________________

 

Cell Phone:      ______________________________

 

Email:              ______________________________

 

 

Name(s) of previous unit(s) of which you were a member: ________________________

 

 _______________________________________________________________________

 

18th Century Equipment / Clothing you already have. (If any): _____________________

 

_______________________________________________________________________


Special skills (period and non-period): ________________________________________

_______________________________________________________________________


Signature: ______________________________________ Date: ___________________

Please enclose your check for dues, payable as follows:

            Outwater’s Militia, Inc. $15 for single membership/$20 for family

            Brigade of the American Revolution: $25 for single member / $5 for each additional family member

Please Complete the form and return it to:

            Jim Perry

            Adjutant – Outwater’s Militia

            120 Blenheim Dr.

            Palmer, PA 18045