Company H,
1st Maryland Infantry
Name:

Address:

Town, State:

Phone:

Zip:

E-mail:
Single
$20.00
Single membership includes full participation in all events and elections, as well as all benefits for one individual
- military or civilian.
Family
$25.00
Family membership includes full participation in all events and elections, as well as all benefits for all members of
one household
Associate
$15.00
Associate members are more than welcome to partake in all events but are not eligible to cast a vote or take part in
any of the election procedures
Signature:

Date of Application:
Chris Svejk
11 Belmont Ave.
Meriden, Ct. 06451
203.237.6598
or email:
christian.casvejk@yahoo.com
Corresponding Secretary
c/o 37 Mayflower St
West Hartford, CT 06110
or
email to: jso1124@aol.com
After filling out form,
please print and send
by U.S. Mail or email
to any one of the
following people:
Back To Recruiting Page
Personal Information
Membership Types:
Injury Waiver
I understand that there are certain risks of injury involved in firing black powder weapons, in drilling, and in
maneuvering in a military formation. I will therefore observe all safety precautions at all times.

I will not hold the Company H, 1st Maryland Infantry re-enacting group, or any of its members, liable for any injury
incurred by me while participating in any 1st Maryland reenacting activity.