Ben Newton Memorial Civil War Event
Elmira, New York -- May 2, 3, 4, 2008

Online registration form.
Please type in all applicable information, then hit the Submit button once. 
Your registration information will be sent to Joe and Cheryl Fedorchak.

If you choose the option to pay with your PayPal account,
please return to the Re-enactor's Information page, and click on the PayPal button.

If you choose to pay by check, please make your check payable to Chemung Valley Living History,
and mail it to:  Joe and Cheryl Fedorchak, 54 Burdick Ave., Johnson City, NY 13790

 

Unit Name:
Please enter names of individuals in the Roster space below.

Check all that apply:  Confederate     Union     Civilian       Heritage

Sutlery Name: 

Contact Person:

Street or PO Box::

City:    State or Province:   Zip:  

Country:   Telephone:

Email:

Camping and Setup Information

Sutlers and vendors, please give size of area needed:    Type of tent:
Example:  15 ft long x 10 ft deep

Number of authentic campsites needed:   
Please include types and sizes of tents.

Camping preference:  Garrison:   Campaign:   Civilian:    Other: 

Number of modern (non-electric) campsites needed:   Size of camping unit:

Do you have special camping needs?  

Will you be there to participate in:  Education Day on Friday    Candlelight Tours on Saturday evening
If you wish to participate but have no scenario in mind, we can help you with ideas.

Education Day Demo will be:

Candlelight Tour Scenario will be:

Number of people who want to attend the Sunday morning Continental breakfast (pre-registered only): 
Sorry.  Pre-registration is now closed.  No more breakfast requests will be accepted,
unless there is food left after all who pre-registered have been served.

Unit Roster
Please enter names of all who will be attending, using commas to separate them.

Late Registration Fee Payment -- see amounts due on the Re-enactor's Information page.

I will mail my check:     Total amount to be paid:
See mailing instructions at top of this page.

I will pay through my PayPal account:   Total amount to be paid:

After you click on Submit, return to the Re-enactor's Information Page and use the PayPal button.