9th Indiana
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Merrillville 2005 Event Registration Form Hidden Lake Park Merrillville, Indiana July 29-30, 2006 Reenactor Registration Form Unit Name:____________________________________________________ Contact Person:________________________________________________ Address:_______________________________________________________ Phone: ( ) Email: Circle Whatever is Applicable: USA CSA Infantry Artillery Civilian Medical Cavalry Other:_________________ Number of Participants Attending:____________ Please List the Names of those Attending:__________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
Hosted By the 9th Indiana Infantry Company E Please Print and mail this form to:
Jack Dusek OR E-mail this form to: Dusek@netnitco.net
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Page Last Updated On : April 25, 2005 Questions?? Email the
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