Registration Form 2018 Republic of Texas State Championship & AAFTA Grand Prix September 15-16, 2018
Hosted by the Dallas Field Target Club,
at Elm Fork Shooting Complex, 10751 Luna Rd, Dallas, TX 75220
Email address *
*
(First and Last Name)
Your answer
Contact Phone (Mobile or Home)
Ex. 214-577-XXXX... (prefer mobile/cell number in case we need to contact you on short notice)
Your answer
Address (Line 1) *
Ex. House Number and Street Name
Your answer
Address (Line 2 if needed)
Ex. Apartment Number
Your answer
City *
Your answer
State (abbrev.) *
Ex. TX, LA, TN, OK, KS, etc.
Your answer
Zipcode *
Your answer
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