A CMSA Double WPQ Mounted Shooting Match

Rider ________________________________________________ CMSA # _______________

alias: ________________________________________________ div/level ___________________

address: ______________________________________________________________________

phone: _______________________ email: ____________________________________________________

Main match fee X the number of riders _______ @ $120.00

Opt Jackpot, match ammo, X the number of riders __________ @ $30.00 ____________

Mntd RIFLE, match ammo, X the number of riders _________ @ $25.00 ____________

TIME only, no match entry, X the number of riders _________ @ $65.00 ___________

TIME only, with match entry, X the number of riders ________ @ $50.00 ___________

TIME only, with match entry, Your ammo X # of riders _______@ $35.00 ___________

Wranglers X the number of riders ________________________ @ $35.00 ____________

# of Stalls fee ____ X # of horses ____ # of nights _____ @ $10.00 a night$ ___________

(No portable stalls at this event) ( Dogs must be kept on a leash)

Will you join the CRR today? @ $50.00 single / $80.00 fam / $25 assoc. member $ ________

Will you be joining CMSA today? @ $50.00 single / $80.00 family membership $ _________

CRR Member $10 discount _______ CRR Associate Member $5 discount -- $ _________

Paid by cash: $ _____________ Check: $ ___________ TOTAL: $ ______________

Ammo received ____________ Signed Release of Liability form___________________

Delicious Chicken and Pork BBQ, plus beans and salad, available Saturday evening