2008 USPSA Indiana Section Championship
June 6 - 8
Silver Creek Conservation Club
Sellersburg, IN

Name: _________________________________________________________

Address: _______________________________________________________

City: _______________________________ State: _______ Zip: __________

Phone: ______________________ Email: ____________________________

Squadding preference(circle):
Fri PM (with MD permission) Sat AMSat PM Sun AM
Division (circle):
OpenLimited Ltd-10ProductionRevolverSingle-Stack
Class (circle):
GMMA BCD U
Power Factor(circle):
MajorMinor
Category (circle all that apply):
Junior SeniorSuper SeniorLady
T-shirt size - add $5 for 2XL and larger(circle):
S MLXL 2XL3XL
USPSA #: ______________________

Please squad me with (submit applications together, please):

___________________________________________________________

Make checks for match fees ($85.00, Juniors $45) payable to "Indiana Section Championship"

Send application and match fee to: David Ball
P.O. Box 36
Gosport, IN 47433
Match Use Only
EZ_____
PD_____
SQ_____
EM_____