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MEMBERSHIP FORM

To print out the form, please go to file...page set up.. and select "landscape". Then, just print the form, fill it in and mail it.

2017 Missouri Civil War Reenactor’s Association
Membership Form
Membership Cost: $10.00 per family or individual per year
Dues paid after April 1 are $15

      _____Renewal       ____New       ____Information Change

Name:____________________________________________________________________________________

Additional Family Names: ___________________________________________________________________

Mailing Address: ____________________________________________________________

City:_______________________________________________________

State: ___________________________ Zip:_____________________________

Phone: (                )______________________________________

Unit Affiliation:________________________________________________________________

Email: _________________________________________________________________________

Please mail this form with a check payable to MCWRA in the amount of $10.00 to:
MCWRA
PO Box 884
Fulton, MO 65251

MCWRA dues are due January 1st with a cutoff deadline of April 1st of each year.

©2017 Missouri Civil War Reenactors Association