2nd Annual Sporting Clay Shoot & Steak Dinner: Registration Form (closes Sept. 1st)
Saturday, September 15, 2018 - Rochester Sportman's Club. 181 Sportsman Lane, Rochester, PA 15074
* Event registration begins at 10AM
* Competition starts at 11 AM
* Steak Dinner at 4:00 PM
Chances to win: Awards, Gun Raffles, Money Stations, Longest Bird Competitor, 50/50 & Bonus Stations and Chinese Auction.
(MUST COMPLETE SEPARATE FORM FOR EACH PARTICIPANT)
Email address *
First Name: *
Your answer
Last Name: *
Your answer
Street Address *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Mobile Phone: *
Your answer
Home Phone *
Your answer
I would like the following ticket (must select one answer under each ticket category) *
None
1 ticket
Sporting Clay Shoot & Steak Dinner (Age 31 & up = $100)
Sporting Clay Shoot & Steak Dinner (Age 30 & under = $60)
Steak Dinner only (Age 31 & up = $50.00)
Steak Dinner only (Age 30 & under = $25.00)
List any special needs (dietary, physical) that organizers should be aware of. Be specific.
Your answer
If you wish to register more than one person, please use a separate form for each.
You will have an option to fill out another form once you submit this one.
Event held by the Republican Committee of Beaver County (RCBC) and sponsored by Rochester Sportmen's Club. Make checks payable to Republican Committee of Beaver County or RCBC and mail payment to RCBC, PO Box 356, Beaver, PA 15009 (Questions: email chair.gopbeaverco@gmail.com)
Contributions are not deductible for Federal Tax purposes. Contributions from Corporations and foreign national are prohibited.
A copy of your responses will be emailed to the address you provided.
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