Enlistment Form

Please enlist me as a member of the Society at the following level:

 General …………....   $100.00   

 Colonel ……………    $  75.00   

 Captain …………….   $  50.00

 Sergeant …………...   $  35.00

 Corporal (Family) ....  $  25.00   

 Recruit ……………..   $  15.00

Make check payable to: Camp Curtin Historical Society

Memberships over the basic $15.00 are tax deductible!

Name _____________________________________________________________

Address ___________________________________________________________

City ___________________________  State ________ Zip __________________

Telephone ___________________________

Email ______________________________

Mail this form and your check to:

Camp Curtin Historical Society

Post Office Box 5601

Harrisburg, PA 17011