Enlistment Form

 

Camp Curtin Historical Society 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 17110