12th Annual - 2008 IDPA Massachusetts State Championships

                           Rod & Gun Club of New Bedford, Inc
                           Action Pistol Committee
                           P.O. Box 79575
                           North Dartmouth, MA 02747

                              June 7 & 8, 2008
                                  Entry Form
Shooter Info (please print):

Name:_______________________________________     Date:___________________________

Street:_____________________________________     IDPA #:_________________________

City:_______________________________________     Phone:(______)______-___________

State:___________________ZIP________________     E-Mail:_________________________


I would like to shoot on (circle):     Saturday AM     Saturday PM     Sunday

Tee Shirt size (circle):   Medium     Large      X-Large      XX-Large

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Division I plan to shoot in:

Stock Service Pistol    ______        Enhanced Service Pistol   ______

Stock Service Revolver  ______        Enhanced Service Revolver ______

Custom Defensive Pistol ______

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My classification for this division:

Master ______   Expert ______   Sharp Shooter ______ Marksman ______

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Sub-Division:

Lady _____     Law Enforcement ______    Military______    Junier ______

Senior(50 to 69) ______     Super Senior (70 or older) ______

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Limited to first 100 eligible entries.  Match fee includes one shirt (size above)

Match Fee: before 5/1/08: $65      _________     

Postmarked after 5/1/08: $75       _________

Extra shirts: $15 each   X ____  = _________
(list sizes)
                        Total:  ____________


Lunch NOT included.  Kitchen will be open for breakfast and lunch.

Make checks payable to:    Rod & Gun Club of New Bedford
Mail entries & fees to:    Action Pistol Committee
                           P.O. Box 79575
                           North Dartmouth, MA 02747

Contact: David Bold      email to:filthydave@hotmail.com   phone: 508.984.9589
         Jay Litchfield  email to:diver4life@verizon.net   phone: 774.274.0488