Entry Form - Golden Triangle Gun Club Regional Match 

Circle One: Service Rifle or Match Rifle  
(There is NO F-Class for this match)

Name:_______________________________NEW NRA# _________________________

(NOTE: Contact NRA for your new number if it begins in letters)

Address: _____________________________

         _____________________________
		 
         _____________________________

Phone:   _____________________________

Email:   _____________________________

        

Circle matches entered:(Circle)
 
ALL 1	2	3	4	5	6	7	8	

Classification: (Circle)

HM	Ma	Ex	SS	Mk	Unclassified

Special Award Category: (Circle)

Senior	Woman	Junior   service

CMP liability release form must be on file, or a new one notarized 
and presented at registration.

Entry Fee: Individual Regional - Adult $35.00
           Junior                      $17.50
           CMP Service Rifle Match     $15.00
                             TOTAL:    ______ 

Make checks payable to: Golden Triangle Gun Club

Mail To: 
Walt Haley-Match Director
3021 Boyd Ave.
Groves, Texas 77619
(409) 963-2706 Call after 6:00 PM - before 10:00 PM