Andersonville National Historic Site

"All are prisoners alike…”

March 11-13, 2011

Registration Form

UNIT: ______________________________________________________________ DATE: ___________

CONTACT NAME: __________________________ PHONE: _____________ E-MAIL:_________________

ADDRESS: ________________________________ CITY: _________________ STATE: ___ ZIP: _______

NUMBER OF TROOPS: US__________ CS __________ BOTH___________

ARTILLERY- Please note category of gun: ____________________________________

 

ROSTER OF SOLDIERS AND CIVILIANS ATTENDING - Note rank or whether civilian (Please use reverse if necessary)

 

1._______________________________________ 11._______________________________________

2._______________________________________ 12._______________________________________

3._______________________________________ 13._______________________________________

4._______________________________________ 14._______________________________________

5._______________________________________ 15._______________________________________

6._______________________________________ 16._______________________________________

7._______________________________________ 17._______________________________________

8._______________________________________ 18._______________________________________

9._______________________________________ 19._______________________________________

10.______________________________________ 20._______________________________________


 

ESTIMATED TENTAGE: Military: A-frame_____ Wall_______

Please return by February 15, 2011 to: Cpt. Gene Harmon

Email: hcove06@hotmail.com

Or

PO Box 2361

Cartersville, GA 30120

Phone: 678-906-9725

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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