print this off write a check and be ready (reg for circuit shoot)

The Clinton House Plantation           Circuit shoot   march 7 2015

Name: _________________________________

NSCA#__________   Class ____________  Concurrent________

Address:______________________________________________

City, State, Zip:_________________________________________

Email: ______________________________________________

100 Bird Main Event (blue)                   $76.00    _____

2nd 100 bird  yellow                                 $60         _____

Lunch                                                         $10         _____

TOTAL                                                                  ______________

CASH                                 CHECK                         CREDIT CARD