30^th North Carolina Troops

Company K, Mecklenburg Beauregards

9^th Pennsylvania Reserves

Company H, New Brighton Rifles

Colonel Francis Marion Parker Civilian Alliance

For Additional Information Please Fill Out this Form, Print, and Send to 30^th NCT either by email to:

Or, by the US Postal Service 30^th NCT, PO Box 36664, Charlotte, NC 28236-6664.

Name: ______________________________ Age: _______ Phone Number: _______________

Address: _________________________________________ Best time to call: ______________

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Do you wish to participate as a: Soldier _____ Civilian _______

My main interest is:

Confederate _________ Union ______________

Both _______________

Infantry _____________ Other (includes Medical, Musician, etc) ___________________

Would any of your family members wish to participate? Yes _______ No _______

If yes, please provide name, age, and desired role (Civilian or Soldier) _____________________

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How did you hear about the 30^th N.C.T.? ________________________________________________

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