Hagerstown Civil War Round Table, Inc.

PO Box 637, Funkstown, MD 21734-0637

Application for Membership

Name: _____________________________________________

Address: _____________________________________________

Email: ______________________________Phone: _________________

I prefer to receive my newsletter via (Check one) Email ____ USPS_____ Due to increasing costs of printing and postage, HCWRT encourages members who are able to access the Internet to receive the Bugle Call via email. It is published September through May of each year.

This application must be accompanied by $30 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: _______________