ENTRY COUPON – OKLAHOMA NRA NMC STATE OUTDOOR PISTOL CHAMPIONSHIP

COMPETITOR NAME:______________________________________ NRA #:__________________________

NRA CLASSIFICATION: _______________________________________PHONE #:_____________________

STREET ADDRESS: _______________________________________ DATE OF BIRTH:__________________

CITY, STATE, ZIP:________________________________________E-MAIL ADDRESS:__________________

ORA #:__________________ORA MEMBERSHIP TYPE AND EXPIRATION:__________________________

SPECIAL CATEGORY: SENIOR LADY JUNIOR (CIRCLE ONE)

WILL YOU BE ENTERING THE CMP EIC "LEG" MATCH? YES NO

ARE YOU CMP EIC DISTINGUISHED? YES NO

WILL YOU BE ENTERING THE NRA DISTINGUISHED REVOLVER (DR) MATCH? YES NO

ARE YOU DISTINGUISHED UNDER THE NRA DR PROGRAM? YES NO

WOULD YOU BE WILLING TO PROVIDE YOUR SERVICE PISTOL OR REVOLVER AND ADDITIONAL AMMUNITION FOR USE BY NON-DISTINGUISHED COMPETITORS ON SUBSEQUENT RELAY(S) AFTER YOUR MATCH RELAY?

SERVICE PISTOL YES NO REVOLVER YES NO

WILL YOU BE ENTERING THE TEAM MATCHES? YES NO

WHAT IS YOUR TEAM’S NAME? _______________________________________________

DO YOU HAVE ANY SPECIAL SQUADDING OR RANGE FACILITY USE REQUESTS?