Hope Lodge

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APPLICATION FOR 2014 WHITEMARSH ENCAMPMENT TROOPS

Name of Unit
Commanding officer
Mailing Address
Phone
Fax
Email
Participation, November 1 and 2, 2014 Sat. & Sun. Saturday only Sunday only
Participants (approx.)
Camp followers (approx.)
I am willing to provide a talk, demonstration, or presentation on my unit
I am willing to repeat the talk, demonstration, or presentation
Special requirements or needs
Liability insurance with a combined single limit of $1,000,000 for bodily injury and property damage is required for your participation in the 2014 Whitemarsh Encampment Re-enactment. Please mail your certificate to the address below.
Insurance company
Certificate number
I accept the Rules and Regulations

Whitemarsh Encampment 2014
Hope Lodge Historic Site
553 South Bethlehem Pike
Fort Washington, PA 19034

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