HIGH POWER RIFLE ENTRY FORM

(Personal info and fees submitted must be filled out completely)

NAME:_________________________________________________________________

ADDRESS:______________________________________________________________

_________________________________________________________________

EMAIL________________________________PHONE__________________________

NRA MEMBERSHIP #______________________DATE OF BIRTH_______________

CLASSIFICATION_______________ CATEGORY___________(Civ-Civilian, Ser-Service, Sr-Senior, W-Woman, P-Police, Res-Reserve, NG-Nat’l Guard)

RIFLE: _______MATCH RIFLE ________SERVICE RIFLE

LONG RANGE: ________ANY RIFLE _________SERVICE _________F CLASS

FEES SUBMITTED:

Long Range $20.00 ___________

Regional $35.00 _________

Leg Match $15.00 _________

Total fees submitted ______________

DO NOT SEND FEE FOR TEAM MATCH! WILL BE COLLECTED AS ENTRIES ARE SUBMITTED ON AUG. 24.

Tournament Date and Location: Southwest Hi Power Regional Championship, August 24, 25, 26, 2007

Signature of Competitor____________________________________________________

INDIVIDUAL SHOTS FIRED:________________SCORE:_________________

TEAM SHOTS FIRED:_________________SCORE:_________________

LONG RANGE SHOTS FIRED_______________SCORE:______________