Charity Sporting Clay Event
Team Registration

Registration Fees/Deadlines:	The registration fee prior to April 1, is $1,350.00 for each 6-person team. From April 1 - April 25, the fee is $1,450.00/team.

Please make checks payable to:	NRECA International
Mail Check to:	Coweta-Fayette EMC Attn: Greg Perry 807 Collinsworth Road Palmetto, GA 30268

Company Name:

Contact Name:

Job Title:

Address:

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Telephone:

Email:

Please List Individual Team Members and Respective Gauge:

Team Member Shirt Size

Member 1:

Member 2:

Member 3:

Member 4:

Member 5:

Member 6:

All entries are subject to approval by the Take Aim At Progress committee.