Contact Form

 

Name_________________________________________________

 

Address_______________________________________________

 

City_________________________State_________Zip__________

 

Phone_______________________

 

Email________________________

 

Have you ever reenacted before?                                                  Y    N

 

Have you ever been convicted of a felony?                                   Y    N

 

Do you have your own uniform or equipment?                           Y    N

 

Would you be able to attend at least two

weekend events per season?                                                           Y    N

 

You must be 16 years of age to carry a musket in the field.  Drummer's or other musicians may be younger.

                   

You may mail this form using regular US Postal mail or email the information:

 

                      Rick Karlowsky

                  PO Box 1

                  Dunlevy, PA 15432

Phone:      724-840-6562  

 

Email:      r.kar@verizon.net

 

Unit Website:    www.11thpa.com