The WESTERN INDEPENDENT GRAYS hosts:

Fort Granger:

Living History at

Fort Granger in Franklin, Tn

May 19-21, 2006

Registration Form

 

By submitting the form below I agree to follow and

adhere to the event standards and guidelines set by the

WESTERN INDEPENDENT GRAYS

 

 

                Name:                                                                                                                             

 

                Street Address:                                                                                                                

 

                City:                                         State:                                          ZIP:                               

 

                 Phone:                                               Email:                                                                      

 

                 Age:                    Local Unit/Mess:                                                                                    

 

                 Medical Conditions:                                                                                                           

 

       

            I paid my registration fee with (circle one):         Money Order                    PayPal

 

                                                        Company Assignment at event: (circle one)                         

Company A

        Company D Company F Company I

Capt. John Duffer

Capt. Justin Runyon Capt. Tripp Corbin If Registration Allows

EVERYONE MUST submit a Registration Form in order to

participate with the WIG. Registration must be paid with a Money Order or via PayPal. No Checks will be accepted.

Make money orders payable to the WESTERN INDEPENDENT GRAYS.

 

Registration MUST be returned BEFORE May 5, 2006. 

Regular registration is $25.00 and ends on April 20th. Late registration is $35.00. There will be NO walk-ons at the event!

 

Send Registration Forms to:

Fort Granger

P.O. Box 331

Thompson’s Station, Tennessee 37179