HISTORICAL MILITARY IMPRESSION

Application for Membership

Full Name:   Address:

City:

State:  Zip:   Phone:

Date of Birth:

E-mail Address:

Please check the time period(s)  you are interested in doing.

 French & Indian     

Revolutionary War  

     War of 1812              

Civil War                

World War I           

World War II          

Will your spouse participate:  yes   No

Are you acquainted with anyone from HMI?

Dues are $20 a year, please send your check made out to Historical Military Impression to:

Linda Szathmary

935 Maple Ave

Roebling, New Jersey 08554

When you are done please hit the "Submit button" below, DO NOT mail this form in.  The information will be emailed to the commander of the impression you are interested in doing.

Please just mail your check to the address above.

Thank You

HMI Web Master