Individual Registration

Please enter information in the form below to process registration for: Sporting Clay Day April 27.

First Name *

Last Name *

Organization *

Address *

City *

State *

Zip *

Phone *

Email *

Names of Additional Guests

If registering more than 4 please detail "Teams"

Sporting Clay

I'd like to be a Trapper ($30)

Yes

I'd like to Sponsor Coffee/Donuts for $100

Yes

I'd like to sponsor Lunch for $250

Yes

I'd Like to Sponsor Refreshments for $100

Yes

I'd like to Sponsor Prizes for $100

Yes

I'd like to Sponsor a Station ($150)

Yes

Amount

Payment Method *

Credit Card Pay by Check

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*