FRIENDS OF WILDERNESS BATTLEFIELD
ANNUAL MEMBERSHIP REGISTRATION

Print and send this completed form with payment made out to
Friends of Wilderness Battlefield

Mail to:   Friends of Wilderness Battlefield
P.O. Box 576
Locust Grove, VA  22508

Name: 
Address1: 
Address2: 
City, State, Zip: 
(Area Code) Phone: 
E-Mail: 

New Member     Renewal

Membership Level (Please choose desired level)
General – $500.00   Colonel – $250.00   Major – $100.00  
Captain – $50.00   Lieutenant – $25.00   Student – $10.00  


Copyright © 2008 Friends of Wilderness Battlefield
P.O. Box 576
Locust Grove VA  22508
e-mail fowb@fowb.org