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 - $40.00Joint - $60.00Student - $15.00

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:
ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

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:
ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

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.