Headquarters

Eleventh Pennsylvania Volunteer Infantry Company K

Post Office Box 792

Greensburg, PA  15601

 

Application for Probationary Membership

 

Name: __________________________________________________________________

 

Address: ________________________________________________________________ ________________________________________________________________________

 

Phone: (Home) (_____)________________             (Work) (_____)________________

 

E-mail:_________________________

 

Do you wish to portray:            Military ___________            Military Musician _________

                                                Civilian ___________              Other (Explain) __________

 

Male or female Impressionist:  ________________

 

List any other family members who wish to participate:

NAME: ____________________________________            Relationship: ____________

NAME: ____________________________________            Relationship: ____________

NAME: ____________________________________            Relationship: ____________

NAME: ____________________________________            Relationship: ____________

 

Do you currently own any Civil War period uniforms, equipment or civilian apparel, 

either authentic or reproduction? YES _______            NO _________

If yes, please describe: _____________________________________________________ ________________________________________________________________________ ________________________________________________________________________

 

Do you have any medical problems that might prevent you from participating in battle 

reenactments, drills, etc.? YES _______            NO _________

If yes, please describe: _____________________________________________________ ________________________________________________________________________ ________________________________________________________________________

 

Do you have any prior military service experience? YES _______            NO _________

If yes, please describe: _____________________________________________________ ________________________________________________________________________ ________________________________________________________________________

Probationary membership is to last one year. Dues will be the same as those paid by members.

Probationary members may attend meetings, and functions, but have no voting rights. Acceptance as a full member will be determined by a vote of the membership, to be made at the end of the probationary year.