SPORTING CLAYS FUNDRAISER

NAME *

First Name

Last Name

PHONE *

(###)

###

####

ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

WILL YOU NEED TO RENT A SHOTGUN? *

NO, BRINGING MY OWN (24 inch barrel or longer)

YES

PAYMENT METHOD *

CASH OR CHECK (payable to Saint Nicholas Patriotic Society)

VENMO (@SaintNickPS)