Hagerstown Civil War Round Table, Inc.

   PO Box 637, Funkstown, MD 21734-0637

                                 Application for Membership                                        

 Name:    _____________________________________________

 Address: _____________________________________________

 Email:     ______________________________Phone:   _________________ 

The newsletter The Bugle Call, which is published September through May of each year, is distributed by email.

This application must be accompanied by $40 which includes dues for one year. It is understood that the applicant agrees by signing this application to abide by the constitution and bylaws of the HCWRT, Inc. 

Applicant Signature: ____________________________________   Date: _____________________

Date received: _______________