SOUTH EAST ZONE CARNIVAL 2013

SATURDAY 12th OCTOBER 2013 9am Conducted at

Start

FRANKSTON/AUSTRALIA CLAY TARGET CLUB, 123 Rossiter Road, Carrum Downs. Melways 98 C9

PRE - NOMINATION FORM

Pre - Nomination must be lodged with the South East Zone by Close of Business on the 27th of September 2013. All nominations are fully refundable if unable to attend. Late nominations will incur a $20 per event fee.
FIRST NAME ADDRESS SUBURB CLUB EMAIL STATE ACTA No. CONTACT No. POST CODE SURNAME

Please circle your Grade and Section ( if applicable)

HANDICAP
Date of birth
/ /

AA

LADIES
LADIES JUNIOR $16.00 $16.00 $16.00 $16.00

VETERAN JUNIOR

OPEN $22.00 $22.00 $22.00 $22.00 Cheque

1. 2. 3. 4.

25 Tgt Handicap 25 Tgt Double Barrel 25 Tgt Single Barrel 25 Tgt Points Score TOTAL

Payment Method:

Money Order

Please make out Money Orders/ Cheques to SOUTH EAST ZONE GUN CLUB INC.
Post your Nomination and Cheque/Money Order to SOUTH EAST ZONE, 18 VENICE STREET MORNINGTON, VIC 3931
By signing I agree to abide by the conditions of the South East Zone Rules. Rules available on FACTC Website.
Date Received

Signed:

Date: