Glenwood 2025 Unit Registration                                    October 3-5

UNIT NAME: _________________________________________

   UNION  (  )     Confederate  (  )   Fenian *  (  )

   *: Must also mark Union or Confederate for camp

       assignment.

CONTACT NAME: ____________________________________

ADDRESS:  ___________________________________________

PHONE NUMBER: ____________________________________

TOTAL NUMBER OF ATTENDEES:  _________

         MILITARY  (       )   CIVILIAN  (       )

Please use a separate sheet of paper to list all persons covered under this registration.  There is a $15 charge for each person listed (until August 15th) or $20 Charge (from August 16th until October 1st) All checks must be payable to "Pam Covert" and mailed with this form to: John Covert 55 Main St Apt 3 Hackettstown NJ