Membership Form

    First Name:*

    Last Name:*

    Email Address:*

    A confirming email will be sent to confirm that we received you enlistment form. This could take up to one week since this is a volunteer organization. Thank you for your patience.

    Zipcode:*

    Are you a CWRT veteran?*
    YesNo

    If yes, how long?

    Membership selection:*
    Single - $35.00Joint - $50.00Student - $10.00

    Area of Special Interest (check all that apply):
    Political FiguresSocial HistoryBattlesBattle LeadersNaval HistoryCivil War MedicineCivil War MusicCollecting ArtifactsBattlefield PreservationHistory ReenactmentsBattlefield ToursOther

    If other area of special interest, describe here:

    Special Interest in Combat Arms:
    InfantryCavalryEngineersSignalIntelligenceLogistics

    IF YOU ARE A SINGLE/STUDENT MEMBERSHIP AND WE HAVE YOUR INFORMATION, go to the bottom of the form, and click on "form completed" and then click on the "submit button".

    Phone Number:

    Address:

    City:

    State:

    How did you hear about us?
    I am a current/former memberMemberFriendBrochureFlyerOur WebsiteBroadcast MediaOtherDon't Remember

    If you selected "Broadcast Media" or "Other," please tell us more:

    Additional information you would like to share:

    IF YOU ARE A SINGLE/STUDENT MEMBERSHIP, go to the bottom of the form, and click on "form completed" and then click on the "submit button".

    JOINT MEMBERSHIP

    Please enter information about second member below:

    First Name:

    Last Name:

    Email Address:

    A confirming email will be sent to confirm that we received you enlistment form. This could take up to one week since this is a volunteer organization. Thank you for your patience.

    Zipcode:

    Are you a CWRT veteran?*
    YesNo

    If yes, how long?

    Area of Special Interest (check all that apply):
    Political FiguresSocial HistoryBattlesBattle LeadersNaval HistoryCivil War MedicineCivil War MusicCollecting ArtifactsBattlefield PreservationHistory ReenactmentsBattlefield ToursOther

    If other area of special interest, describe here:

    Special Interest in Combat Arms:
    InfantryCavalryEngineersSignalIntelligenceLogistics

    Phone Number:

    Address:

    City:

    State:

    How did you hear about us?
    I am a current/former memberMemberFriendBrochureFlyerOur WebsiteBroadcast MediaOtherDon't Remember

    If you selected "Broadcast Media" or "Other," please tell us more:

    Additional information you would like to share:

    Form Completed?* Yes

    The Civil War Round Table of St. Louis thanks you for becoming a member.

    PRINTABLE FORM