2008 New England Regional IDPA Championships Rod & Gun Club of New Bedford, Inc Action Pistol Committee P.O. Box 79575 North Dartmouth, MA 02747 August 16 & 17, 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 Sunday ---------------------------------------------------------------------------------- Division I plan to shoot in: Stock Service Pistol ______ Enhanced Service Pistol ______ Stock Service Revolver ______ Enhanced Service Revolver ______ Custom Defensive Pistol ______ ----------------------------------------------------------------------------------- My classification for this division: Master ______ Expert ______ Sharp Shooter ______ Marksman ______ ----------------------------------------------------------------------------------- Sub-Division: Lady _____ Law Enforcement ______ Military______ Junier ______ Senior(50 to 69) ______ Super Senior (70 or older) ______ ---------------------------------------------------------------------------------- Limited to first 120 eligible entries. Match Fee: before 7/1/08: $100 _________ Postmarked after 7/1/08: $110 _________ Extra hats: $15 each X ____ = _________ Total: ____________ Match fee includes lunch and one hat. Kitchen will be open for breakfast. 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