Enlistment Form
Camp Curtin Historical Society Enlistment Form
Please enlist me as a member of the Society at the following level:
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General …………… $100.00
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Colonel …………… $ 75.00
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Captain ……………. $ 50.00
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Sergeant …………... $ 35.00
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Corporal (Family) ... $ 25.00
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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 17110