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REGISTRATION AND ENTRY FORM

TEXAS STATE RIFLE ASSOCIATION

George Tubb Memorial Long Range Championship

 

October 4-8, 2001

 

LAST NAME_________________________FIRST NAME______________________

STREET ADDRESS______________________________________________________

CITY_____________________________________STATE_____ZIP_______________

PHONE____________________EMAIL _____________________________________

NRA MEM NO._______________________TSRA MEM. NO.___________________

 

Please Circle Appropriate Choices

CLASSIFICATION: High Master Master Expert Sharpshooter - Marksman

CATEGORY: Service - Civilian

SPECIAL AWARDS: Woman - Senior Junior

TYPE OF RIFLE (MATCHES 1,3 & 4): Palma Rifle Service Rifle F Class

 

MATCH ENTRY FEES: Adult Junior

Match #1 Individual Palma $20 $10

Match #2 Any Rifle-Metallic Sight $10 $ 5

Match #3 Individual Palma $20 $10

Match #4 Individual Palma $20 $10

Match #5 Any Rifle-Any Sight $10 $ 5

NRA Registration Fee (See notes) $ 5.25 $ 3

If shooting less than the entire package, circle appropriate fees, include the NRA fee and total. $____________

 

Adult Package Fee (Matches #1 thru 5 + NRA Fee for $75) $____________

 

Junior Package Fee (Matches #1 thru 5 + NRA Fee for $38) $____________

 

NOTES:

1.      Team match fees will be paid on the range. Do not pre-pay.

2.      NRA Registration Fee is a one-time charge whether you shoot all or part.

3.      If additional copies of this form are required please use photocopies. One competitor per form please.

4.      If submitting one check for entire amount for multiple competitors, please note same on the check.

5.      TSRA application is included for your convenience. A photocopy of your current membership card would be appreciated.