PRE-REGISTRATION FORM (PRINT & SEND)
Name___________________________________________________
Address____________________________________________________
State__________________________Zip_______________________
Unit Name___________________________________________________
Rank_______________________Name_____________________________
Rank_____________________ Name_________________________________
Rank _________________ Name________________________________
Rank ____________________ Name__________________________________
Rank______________________Name___________________________________
Rank______________________Name___________________________________
Rank____________________ Name__________________________________
Rank______________________Name_________________________________
Rank______________________Name______________________________
Rank_____________________ Name_______________________________
Rank______________________Name_______________________________
Please print and send Form along with Registration Fees :(Deadline May 28th)
Co. E 37th Virignia Infantry
302 Oakwood Avenue
Pennington Gap,Virginia 24277
