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Chase Farm Information Page

 

Early Registration Deadline August 28, 2009

After August 28, 2009 Registration is $10 Reenactors

REENACTOR & SUTLER REGISTRATION FORM

Chase Farm Park and Hearthside Mansion

Registration Fees: Re-enactors $8; Sutlers $30.

 Please make all checks payable to: Chase Farm or Judy Robinson

(it needs to say both or just Judy Robinson)

Send Registrations to:

Judith Robinson; Box 50; 63 W Union St;  E Bridgewater, MA 02333-9998

 

Military & Civilian

Unit Name ____________________________________________________USA_________ CSA__________

 

Unit Commander ______________________________________________________Rank ____________

 

Phone Number ___________________________E-mail ________________________________________

 

Type of Unit:  Infantry ______  Artillery ______  Cavalry ______ Signal ______ Medical ______

 Civilian_____

 

Special Impression ______________________________________________________________________

 

Type of Insurance    ANV _____     USV _____  Other______________________________________

 

Number of Soldiers _________Number of Civilians ________ Children under 15 ________ Total _______

 

Unit Contact Person ___________________________________________Title ____________________

 

Mailing Address ________________________________________________________________________

 

Phone Number ___________________________E-mail_________________________________________

 

Tent Numbers:   Wall _____ Wedge A ______ Dog/Shebang _____ Campaigners ______

 

Civilians Camping in Unity:  Wall _____  A ______

Number of Artillery Pieces and types _______________________________________________________ 

Cavalry: Number of Horses ______________ (coggins certificates must be presented at check in)

 

SUTLERS

 

Type of Sutlery:   Food Vendor ______   Merchandise Vendor _____

 

Full Name of Sutlery _____________________________________________________________________

 

Mailing Address_________________________________________________________________________

 

Phone Number _____________________________E-mail ______________________________________

 

Complete and Return the attached Roster with the Registration Form

PAGE 2 REGISTRATION FORM