Name...........................................................Date.................
Address..................................................................................................................
Phone...............................................Email..............................................................
Age............years.If under 18 can you provide proof of parental consent? YES NO
Reason for wanting to join the 6.SS Nord............................................................. ...............................................................................................................................
Any special qualifications which you would like to share which would make you an
asset to our organization..........................................................................................
...............................................................................................................................
Any special interest?(i.e. living history,tactical events,being on a mortor crew?).........
...............................................................................................................................
Any known medical conditions we should be aware of.............................................
................................................................................................................................
Any WW@ period vehicles owned?.........................................................................
Any other prior or existing reenactment organization memberships?If yes then who?....
..................................................................................................................................
Proir rank and do you have verification of same?Please note that this does not mean that
this will carry over,but it is important for us to know your qualifications if any.................
....................................................................................................................................
The last four digits of your social security number for use as your SS I.D. number...........
May we publish your name and/or phone number in the unit roster? YES NO
WW@ German weapons owned?and are all weapons owned legally? YES NO
I certify that I will not use this organization for the furtherment or goals of any radical and/or subversive organization to include but not limited to:any nazi,KKK or other hate group,Communist,Socialist, or other similar subversive or threating organation.I will uphold all the safty and authenticity rules and will not endanger anyone in the reenactment community.
signed....................................................................
Scott Atchison
P.O.box 61
Ossian,IN 46777
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