wf First Name * wf Last Name * wf Address * wf City * wf State * wf Zip * wf Phone * wf E-Mail * wf Are you a PRGC Member? * Yes No wf Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 wf NRA # * wf CMP # wf NRA Precision Pistol Classification * Unclassified High Master Master Expert Sharpshooter Marksman wf Distinguished? 22 Service Pistol Air Pistol CMP EIC Revolver NRA Revolver (Check all applicable) wf Relay Preference * - Select -FirstSecond wf Categories * Male Female Senior Grand Senior Civilian Service Veteran Collegiate Junior (Check all applicable) wf Match Entries Service Pistol Championship Yes Service Pistol Fee $ Conventional Pistol Championship cp_22_fee_h cp_45_fee_h cp_cf_fee_h cp_reg_fee_h CP_Selection .22 Centerfire .45 (Check all applicable) Fees $ EIC and DR Matches eic_22_fee_h eic_dr_fee_h eic_sp_fee_h eic_sr_fee_h EIC_Selection .22 Caliber EIC Match Service Pistol EIC Match Service Revolver EIC Match Distinguished Revolver Match (Check all applicable) Fees $ International Matches intl_fp_fee_h intl_ap_fee_h intl_sp_fee_h intl_cf_fee_h intl_reg_fee_h Intl_Selection Free Pistol Match Air Pistol Match Standard Pistol Match International Centerfire Match (Check all applicable) Fees $ Check this box if you are a 4-man or 2-man team captain Team Matches team_22_fee_h team_45_fee_h team_cf_fee_h team_sp_fee_h .22 Caliber Team Match 4-Man 2-Man Centerfire Team Match 4-Man 2-Man .45 Caliber Team Match 4-Man 2-Man Service Pistol Team Match 4-Man 2-Man Fees $ wf Signature wf Total Fees $
