PanzerGruppeWest
Unit Application
Name:_______________________________________________________________________
Address:___________________________________________________________________
Phone:___________________________ E-mail :________________________________
Date of Birth:____________________________________________________________
(If under 18 you must provide parental consent)
(If under 18 you must provide parental consent)
Last four digits of your social security number,To be used as
your SS ID number.
your SS ID number.
______________________________________________________________________________
Reasons for wanting to a member of Panzer Gruppe West?
______________________________________________________________________________
Any other current or prior reenactment group memberships?
if yes then who?
if yes then who?
______________________________________________________________________________
Prior rank in other units?_____________________________________________
Any special qualifications which would make you a asset for our
organization?
organization?
______________________________________________________________________________
Any special interests ?(IE: Public displays,tacticals,Being on
a mortar crew,etc..)
a mortar crew,etc..)
______________________________________________________________________________
Any WW II Equipment owned?
______________________________________________________________________________
Any WWII Vehicles owned?
______________________________________________________________________________
May we print your phone number & Email in the unit newsletter ?
______________________________________________________________________________
Please note: Panzer Gruppe West is a reenactment unit of the Tactical Studies group Inc.
All members of our unit must also join the "TSG" We follow all TSG bylaws.
Current TSG membership number ?_____________________________________________________
I certify that I will not use this organazation for the futherment or goals of any radical and/or subversive
organazation to include but not limited to:any nazi,KKK,or other hate group,communist,socialist,or other
subversive or threatening organazation.I will uphold all the safety and authenticity rules and will not
endanger anyone in the reenactment community.
Signed:_______________________________Date______________
Parent/Guardian________________________Date______________
If applicant is under 18 years of age
If applicant is under 18 years of age
mail your Application
and Dues to:
Mike Lipe
3818 15th st. A
Moline, Il
61265
and Dues to:
Mike Lipe
3818 15th st. A
Moline, Il
61265
Our unit charges annual dues of $20 to cover news letters, printing costs, website, etc.
Make checks payable to Panzer Gruppe West. Do not send cash!
We do reserve the right to expel members due to just cause, Theft, fighting, politics,
and illegal activities
Make checks payable to Panzer Gruppe West. Do not send cash!
We do reserve the right to expel members due to just cause, Theft, fighting, politics,
and illegal activities
Download the
application in PDF
format HERE
application in PDF
format HERE