shootout registration

Company Name

Address

City State MI AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip

Phone Email

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Platinum Sponsor (Includes 6 shooters)

Gold Sponsor (Includes 4 shooters)

Silver Sposnor (Includes 2 shooters)

Disabled Shooter Sponsor

Corporate Sponsor

Individual Shooter (1 shooter)

Disabled Shooter

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Shooter 1 - Name

Shooter 2 - Name

Shooter 3 - Name

Shooter 4 - Name

Shooter 5 - Name

Shooter 6 - Name

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I understand 50 mentors will be needed for the day. I would be interested in being a shooting mentor with a disabled person. Mentors will receive special recognition and (1) special raffle ticket.

I am interested in donating goods or services. Please contact: