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IBS Screamer Sticker

Screamer Sticker application form

* Required

Name *
email
Address 1 *
Address 2
City *
State Zip *
Country *
Day Phone
Eve Phone *
Best Time to Call *


Discipline Choices
1. Score -
2. Group -
3. 600 Yard -
4. 1000 Yard -
   
   
Details of Qualifying Target  
Date Shot
Location, Club & Match #
Relay & Bench #
Score, or Group Size




Fill this form out in your browser and print it out. Send only by U.S. Postal Service to:

Frank Danisienka
P.O. Box 97
New Ipswich, NH 03071