BENTONVILLE: 2010 MARCH 19, 20, 21, 2010 REGISTRATION FORM |
| Please complete this form and list all participants on the attached sheet Unit or Regiment Commander:_______________________________________________ Contact Person:__________________________________________________________ Mailing Address:__________________________________________________________ City, State, Zip:___________________________________________________________ Phone (area code): Day____________________Evening__________________________ Email:___________________________________________________________________ ORGANIZATIONAL AFFILIATION (MANDATORY) 1st Div. ANV _____(Regt.)_____ Cleburne's Div. _____________ USV ______(Battn)__________ Nat. Regt. _________________ Carolina Legion ____________ Miss. Battalion _____________ Mifflin Guard ______________ Vincent's Bg. ______________ Longstreet's Corps__________ Palmetto Battalion __________ Western Div. ______________ Irish Vols. _________________ Others (Please Specify) _________________________________________________________ List the number of Participants by Category CS INF______ CS MOUNTED CAV ______ CS DISMOUNTED CAV ______ CS ARTY ______ US INF______ US MOUNTED CAV ______ US DISMOUNTED CAV ______ US ARTY ______ AUTHENTIC CIV ______ HORSES ______ Artillery (Number and type of gun) ______________________Other (Please describe____________________) Totals: ________ @ $8.00 per individual (Mil & Civ) until Jan. 1, 2010 = $_________ ________ @ $10.00 per individual (Mil & Civ) until Jan. 2 until Feb. 28, 2010 = $_________ Total amount enclosed = $_________ Children under 12 are free but must be registered. Sutlers must use sutler application. Substitutions will be permitted "Add-ons are permissible. Names should be sent with payment in accordance with above date and fee schedule.
MAKE CHECKS PAYABLE TO : Bentonville Battlefield Historical Association, Inc. Mail to: B.B.H.A. Event Registration P. O. Box 432 Newton Grove, NC 28366 CLICK HERE TO ADD MORE NAMES |
