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Port Malabar Rifle and Pistol Club

                    2010 Orange Blossom Regional Entry Sheet

Please enter all requested information.   Select and circle the type of rifle you will shoot in each match.  Enter the Entry Fee Amount on the line provided.  Total the entry fees and enter the total at the bottom.  Please include a check payable to "Port Malabar Rifle & Pistol Club” for te total and mail to Eric Kennard, 231 Waterside Dr., Indian Harbour Beach, FL. 32937.  This form, properly completed, signed, along with a check for the proper amount must be postmarked no later that 2/10/10 for your entry to be accepted. Any questions contact Brad Sutherland at 305-218-7057 or fl-obr@comcast.net.

  NRA #:       __________________          Are You Distinguished:       _________

  Name:             ____________________________    Title/Rank: ____________

  Address:      ___________________________________________________

  City/ST/ZIP:     ___________________________________________________

  Birthday:     ______________email: ______________________________________

  Home #:        ______________              Emergency #: ________________________

Match

Fee

Date

Class

Category

Rifle

Paid

Squadded Practice

$10

Fri 2/26/10

 

 

 

 

1200 Point OBR Mid-Range Regional

$75

Sat. & Sun 2/27-28/10

 

 

SV, MR, MS, FT, FC, PA

 

300 Yard OBR Antique Match

$5

Sunday 2/28/10

 

 

 

 

OBR Any Sight Team (each member of the team enters)

$25ea

Monday 3/1/10

 

 

SV, MR, MS, FT, FC, PA

 

Squadded Practice

$10

Monday 3/1/10

 

 

 

 

4-Man OBR ATC Team (each member of the team enter)

$25ea

Tuesday 3/2/10

 

 

SV or MR

 

Orange Blossom Regional

$120

Wed-Sat 3/3-6/10

 

 

SV or MR

 

OBR EIC (LEG) Match

$25

Sunday

3/7/10

 

 

SV

 

OBR Match Directors

$25

Sunday

3/7/10

 

 

MR

 

2/27 Add’l Bar-B-Que

(Competitor included, $15 for adults & $8 under 10, free for toddlers)

$15 ea

$8 ea

Saturday 2/27/10

 

How many?

 

 

3/6 Add’l Bar-B-Que

(Competitor included, $15 for adults & $8 under 10, free for toddlers)

$15 ea

$8 ea

Saturday 3/6/10

 

How many?

 

 
Camping ($10 a night)

$10

     How many?    

_____ Special squadding needed?      ~~ Include notarized CMP affidavit if needed ~~

Signature: _____________________             Total Paid: $___________

 

Mail to: Eric Kennard, 231 Waterside Dr., Indian Harbour Beach, FL. 32937

 

Received on____________ Check #_____________ Action_________________


 

Class Abbreviation Category Abbreviation Rifle Abbreviation
High Master HM   Civilian CV   Service SV
Master MA   Service SV   Match MR
Expert EX   Reserve RV   Match with Scope MS
Sharpshooter SS   National Guard NG   F-Class Target FT
Marksman MK   Senior SR   F-Class Open FC
Unclassified MU   Woman WM   Palma PA
    Junior JR    
  Sub-Junior SJ  
  Police PO