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Registration

Registration is $10.00 (non-refundable)

Make check out to: South Carolina Cotton Museum
in the memo line put Potter's Raid account

Send check to: Dave Decker
418 Turkey Farm Road
Dalzell, S.C. 29040

 

Down Load a Registration Form in Adobe Format

 

 

Unit Name                                        .

 

Unit Type                                         .

 

                  Brigade Association                                                               .

 

Contact Person                                     Phone (     )                   .         EMAIL                                         .

 

 

Name

Rank

Mounted?

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