Pre-Registration Form
May 18, 2008

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Please provide the following information, and select the "Submit" button at the bottom of the form.

Name
Street Address
Address (cont.)
City
State
Zip Code
Contact Phone
E-mail
   

NSCA #:

Class:

Concurrent:
   
20 Gauge Event (50-bird):

20 Gauge Event ($35.00)
20 Gauge Class Option ($5.00)

   
28 Gauge Event (50-bird): 28 Gauge Event ($35.00)
28 Gauge Class Option ($5.00)
   
.410 Bore Event (50-bird): .410 Bore Event ($35.00)
.410 Bore Class Option ($5.00)
   
Pump Gun Event (any Gauge): Pump Gun Event ($35.00)
Pump Gun Class Option ($5.00)
   
Side-by-Side Event (any Gauge): Side-by-Side Event ($35.00)
Side-by-Side Class Option ($5.00)
   

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