2009 GOB Field Target Championship Registration Form

(please fill in ALL information, and the press the "Print" button)

  Name:
  Address:
  City:
  State:
  Zip:
  Phone:
  e Mail:
  Age:
   
  Division:   PCP   Piston   Hunter  
   
  Air Rifle:
  Scope:
  Pellet: CP Lite   CP Heavy   JSB Lite   JSB Heavy JSB Express  
Other:
 
 
  Individual Registration: $60 (includes Sun Lunch) $
  Guest Meals: $8 per meal,  Sun: $
  Total enclosed: $

Make Checks Payable to: Roz Sumpter

  and send this form along with your payment to:

 
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