The 150th Anniversary of The Royal Hamilton Light Infantry

Registration Request

Name:
Email address:
Your mailing address:	</td> </tr> <tr> <td align="right"> <label for="phone">Your contact phone number</label>:</td><td align="left"><input type="text" id="phone" name="phone" size="12" /> </td> </tr> <tr> <td align="right"> <label for="rhliyears">Years served in the RHLI</label>:</td><td align="left"><input type="text" id= "rhliyears" name="rhliyears" size="12" /> </td> </tr> <tr> <td align="right"> <label for="otherunits">Other Units Served In</label>:</td><td align="left"><input type="text" id="otherunits" name="otherunits" size="60" /> </td></tr> <tr> <td align="right"> <label for="otheryears">Years served in other units</label>:</td><td align="left"><input type="text" id="otheryears" name="otheryears" size="12" /> </td></tr> <tr> <td align="right"> <label for="DisplayName">May we display your name on the "Reunion" Roll Call page? (Yes/No)</label>: </td> <td align="left"> <input type="text" id="DisplayName" name="DisplayName" size="10" /> </td></tr> <tr><td align="right"><label for="referal">Would you like to refer someone to us? (Yes/No)</label>:</td><td align="left"><input type="text" id="referal" name="referal" size="10" /></td></tr> <tr><td align="right"><label for="refername">Name of referral</label>:</td><td align="left"><input type="text" name="refername" id="refername" size="30" /></td></tr> <tr><td align="right"><label for="refer_email">Referral Email address</label>:</td><td align="left"><input type="text" id="refer_email" name="refer_email" size="30" /></td></tr> <tr><td align="right"><label for="refer_mail">Referral mailing address</label>:</td><td align="left"><textarea id="refer_mail" name="refer_mail" rows="5" cols="60" /></td></tr> <tr><td align="right"><label for="refer_phone">Referral contact phone number</label>:</td><td align="left"><input type="text" id="refer_phone" name="refer_phone" size="12" /></td></tr> <tr><td colspan="2" align="center"> <label for="reminiscence">Your favourite RHLI reminiscence (limit 250 words)</label><br /> <textarea rows="10" cols="80" name="reminiscence" id="reminiscence">
Would you like to make a tax-deductible charitable donation to our 150th Fund of The Thirteenth (XIII) Regiment Foundation? (Yes/No):

To donate, please contact the Adjt RHLI, Capt Rob Marini. Feel free to contact him here.