I,_____________________________________, desirous of defending my State
against the Northern Invader, apply for membership in the Fifth Missouri Infantry CSA Inc. I certify that I am of legal
age and suffer no undisclosed physical, legal or mental disabilities which would prohibit me from bearing firearms or would
endanger myself, other re-enactors or the general public. I further agree to comply with the by laws, safety rules and
behavioral guidelines of the Fifth Missouri Infantry (CSA) Inc., and to comply with the instructions and directions of those
elected or appointed to positions in control of this and other units & events, as long as such instructions and directions
are legal, safe, & non demeaning. I understand that I must undergo a probationary training period under close
supervision for safety and authenticity purposes before being accepted as a Veteran Soldier.
City____________________________ State_________ Zip Code_______
Membership (check one)
 General $22.00 ($12.00 Fifth MO & $10.00 MCWRA)
 Associate $9.00 (Non voting member)
Names (& ages if under 16)of family members included in membership.
List any important allergies/ medical problems/ legal disabilities:
Make Checks Payable to:
Contact Mike Hamilton for more Info, the link is on the homepage.