1st MARYLAND CAVALRY BATTALION

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1st.MD.Cav@gmail.com

1^{st MARYLAND CAVALRY BATTALION, Battery B;}

Companies A, E & H,C.S.A., Inc
^{APPLICATION FOR MEMBERSHIP
(PRINT USE BLUE OR BLACK INK)

Impression (check One):

Mounted ÿ
Skirmish (dismounted)
ÿ
Artillery
ÿ
      Civilian
ÿ

          1. Name:____________________________________________________________________________________________________

(Last,       First,       M.I).

          2. Address:___________________________________________________________________________________________________

          3. Age :______
       D.O.B.____/____/____
        Sex:    M ÿ F ÿ
      Marital Status:     Single ÿ    Married
ÿ

                                                         MM
/ DD /YY
          4. E-Mail address:_____________________________________________________________________________________________
          5. Telephone contact number: (______)_____________________________
          6. Please list any previous experience you have in this hobby and any
military service experience that you have.
          ____________________________________________________________________________________________________________
          ____________________________________________________________________________________________________________
          ____________________________________________________________________________________________________________
          7. Please list any uniforms or equipment that you have for Civil War
reenacting:
          ____________________________________________________________________________________________________________
          ____________________________________________________________________________________________________________
          ____________________________________________________________________________________________________________

          8. Please tell us a little about yourself, include any special skills you
may have. (Carpenter, Paramedic, Nurse, Blacksmith, etc.)
          ____________________________________________________________________________________________________________
          ____________________________________________________________________________________________________________


____________________________________________________________________________________________________________


____________________________________________________________________________________________________________
          ____________________________________________________________________________________________________________

                    Signature of Applicant:
___________________________________________________________
                    Signature of Branch Officer
: _______________________________________________________

Signature of Military Commander :
___________________________________________________

                    APPLICATION:
APPROVED   /   DISAPPROVED
                    DATE
:

COMPLETE & RETURN TO:

Major Dan Kutrick
1st Maryland Cavalry Battalion, C.S.A.
442 Machias Place
Middle River, MD 21220}