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  

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