2018 SC Reg

ENTRY COUPON – OKLAHOMA REGIONAL OUTDOOR PISTOL CHAMPIONSHIP

NAME		NRA #
NRA CLASS		PHONE #
ADDRESS		DATE OF BIRTH
CITY, STATE		EMAIL
SPECIAL CATEGORY CIRCLE ONE PLEASE	SENIOR	GRAND SENIOR		LADY
LAW ENFORCEMENT	MILITARY	JUNIOR
EIC		YES	NO
22 EIC		YES	NO
DR		YES	NO
DO YOU HAVE ANY SPECIAL SQUADDING REQUESTS OR RANGE FACILITY USE REQUESTS? IF SO PLEASE INDICATE BELOW.
REGIONAL CHAMPIONSHIP ENTRY FEE $50.00
CMP EIC "LEG" MATCH $20.00
CMP 22 EIC MATCH FEE $20.00
NRA DISTINGUISHED REVOLVER MATCH FEE $20.00
COMBINATION EIC, 22 EIC AND DR $55.00
TOTAL MATCH FEES ENCLOSED

PLEASE MAKE CHECKS FOR ENTRY FEES PAYABLE TO:

OKCGC BULLSEYE PISTOL. RETURN THE ENTRY COUPON AND ENTRY FEES TO:

Ken Smart

4310 n. Donald Ave.

Bethany, OK 73008