June 8, 9, 10, 2012              

RO's Shoot: Thursday, June 7th

No entry accepted post marked before Jan 2, 2012 / NO over nite Signature required letters / No Foreign Checks

Make Checks Payable to: Robert Porter, Mail Entry & release to: 3200 Grant st. Wichita Falls Texas 76308

Match Fee: Adult - $175.00 / Juniors - $100.00 - Postmarked Before May 1, 2012 after May 1st, Adult -$225.00 / Jr.-125.00

Name USPSA#

Address City

State / Country Zip

E-mail (for Confirmation)

Phone Number:       Match Fee

Shooting Schedule (check one) Shoot Friday 12 stages Shoot Saturday and Sunday

Division Open      Limited     Limited 10    Production    1911    Rev

Class: GM      M      A       B       C       D      U

Catagory: Lady      Jr     Sr.     SSR     Law    Mil

Pre Order Shirts: $18.00 S    M    L      XL     /    $22.00 2XL     3XL

                                Total Number of Shirts Total Price for Shirts

Lunch: $7.00 per person / per day.  Total # tickets Total Price for lunch

Total Price: (Including Match Entry, Shirts and Lunch tickets)