Registration

LUBE IT UP,
In Fort St John
June 13 &14 2015
Limited to 60 Competitors
Name: ________________________________ IPSC BC#: ___________
Address: ____________________________________________________
___________________________________________________
Phone: _____________________ Email: ________________________
First Match:
Black Badge instructor: __________________________
Division:
Class:
Power Factor:
Category:
RO status:
Shooting Preference:
If possible I would like to shoot with: ______________________________
Saturday evening dinner tickets are $30 per person, a competitors’
dinner ticket is entry into the DOOR PRIZE draws.
Match shirt is available by pre-order only with orders must be
received by April 15, 2015. The first shirt is $30, extra shirts $55.
Qualifier Sat. $45 ($75 after April 25)
Qualifier Sun. $45 ($75 after April 25)
Sat. Dinner # tickets: ______ X $30=
Match Shirt #:
_____ X $30=
Additional Shirts #:
_____ X $55=
$______
$______
$______
$______
$______
Total $ ___________
Match Shirt (size):
EMT payment and registration to: NEBC_IPSC@hotmail.com
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If you have any questions please call Egan @ 250-793-9932, Chuck @
250-261-2494, Mike @ 250-263-1915 or email to: to
NEBC_IPSC@hotmail.com
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