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NOMINATION FORM 2010 Rimfire Benchrest Australia Nationals.
Jim Smith Range (Queensland Target Sports) Belmont Shooting Complex, Brisbane. July 30th,31st and 1st August 2010.
Name: ..................................................................... Phone Number:................................................ Address: ...................................................... E‐Mail: .............................................................
Nomination Fee: Sub Juniors: $ 45.00 Juniors: $ 45.00 Ladies: $ 90.00 Mens: $ 90.00 Seniors: $ 80.00 with card.
Nominations include Lunch and a drink both days and Range Fees.
Entries Close Friday 23 rd July 2010.
Nationals Dinner: Saturday Night at the Range commencing at 6.30 p.m. Nibbles’, Entree, Mains and Desert: and live entertainment. $ 25.00 Nationals Shirt with Sponsors Listed: $ 35.00 Please Circle Required Size. Ladies: 6 8 10 12 14 16 18 20 22 24 Mens: Small Medium Large X large 2XL 3XL 4XL 5 XL Nationals Cap: One size fits all. $ 15.00
Please advise if sharing Flags or Equipment with: ________________________ Flags Equip
Please make Cheques or Money Orders Payable to: Clifton Benchrest Shooters Union Inc. Nomination $ _________ Shirt $ _________ Hat $ _________ Dinner $ 25.00
Total. $ .................. Please Send Nomination Form and Payment to :
The Clifton Benchrest Shooters Union 8 John Street Clifton Queensland 4361.
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