2008 Louisiana State Championships

October 3rd-5th, 2008

Shooter Information

NSCA Number

Class

Concurrent

Name

Address

City

State

Zip

Phone

Email Address

Events

200 Target Main Event
*$100.00 Deposit

Main Rotation
1st Choice
Saturday/Sunday

Main Rotation
2nd Choice
Saturday/Sunday

Options
*Cash/Check

HOA

NSCA Class

Lewis

All Rotations will be filled on a First Come/First Serve Basis.

100 Target FITASC Event
*$100.00 Deposit

FITASC Rotation
1st Choice

FITASC Rotation
2nd Choice

Options
*Cash/Check

NSCA Class

Lewis

100 Target 5 Stand Event

5 Stand Rotation
1st Choice

5 Stand Rotation
2nd Choice

Options
*Cash/Check

NSCA Class

Lewis

100 Target Prelim
(Squadded Event)

Prelim Rotation
1st Choice

Prelim Rotation
2nd Choice

Options
*Cash/Check

NSCA Class

Lewis

Small Gauge, pump and side x side:
50 Target 12 Gauge Event (Friday Only)
50 Target 20 Gauge Event (Friday Only)
50 Target 28 Gauge Event (Friday Only)
50 Target 410 Gauge Event (Friday Only)

100 Target Sub Gauge Event

410 Bore

28 Gauge

20 Gauge

12 Gauge

Options
**Cash/Check

410 NSCA Class

28 NSCA Class

20 NSCA Class

12 NSCA Class

I would like to be squadded with:
(4 man including self)

Other Fees and Deposits

Golf Cart
*3 Day Minimum

Friday

Saturday

Sunday

RV Spot
*Due with registration

RV Spot

# of Extra Dinner Tickets

Extra Dinner Tickets

Deposits

Main

FITASC

RV

Cart

Deposit
*Please enter with a negative number

Payment Information

Method of Payment

I am sending a check for my deposit

I am using a credit card for my deposit

Name on Credit Card

Card Number

Credit Card

Expiration

Indicates Response Required