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 Year192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027 wf CMP # * wf NRA # * wf NRA Precision Pistol Classification * Unclassified High Master Master Expert Sharpshooter Marksman wf Distinguished? 22 Service Pistol Service Revolver NRA Revolver (Check all applicable) wf Relay Preference * First Second Split between First and Second wf Categories * Male Female Senior Grand Senior Civilian Service Veteran Collegiate Junior (Check all applicable) wf Match EntriesConventional Pistol Championship cp_fee_h CP_Selection NoneOne GunTwo GunThree Gun (2700) 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 Distinguished Revolver Match Service Revolver EIC Match (Check all applicable) Fees $ Check this box if you are a 4-man or 2-man team captain Team Matches (paper only) team_fee_h Team Match 4-Man 2-Man Fees $ wf Signature wf Total Fees $
