Registration Form:
There are two ways to register: 

Either print this form, fill in the information, and mail it to:

c/o Brandenburg Reenactment
305 Lawrence Street
Brandenburg, KY  40108

Or, copy the information into an e-mail and send to :
[email protected]
Registration fees: to be determined. Please visit www.brandenburgreenactment.com for more information.  
. 

Sutler fees: $5 per sutler
Please make checks payable to:  Meade County Public Library.

Name:  ___________________________________________________

Street:  ____________________________________________________

City:________________________ State:  __________   Zip:  __________

Phone Number:  _____________________________________________

E-mail Address:  _____________________________________________

Type of Portrayal (please circle all that apply):

       USA          CSA

       Infantry         Calvary           Artillery          Civilian         Sutler          

      _____ Number of horses

      SUTLERS:  space requirements ___________________________


Unit Name:  ______________________________________________

Special Needs:  ______________________________________________

__________________________________________________________
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