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"
*
" indicates required fields
Name of Shooter
*
First
Last
Phone
*
Email
*
Choose Items
Individual Shooter - $250
Team of 4 Shooters - $1,000
Team of 4 Shooters plus Station Sponsor - $1,500
Extra Donation to the Scholarship Fund:
Any Additional Amount or Single Amount
Please list the full names, email and phone number of all additional team shooters:
*
Total
Credit Card
Card Details
Cardholder Name
81818
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