THE F CLASS REGIONAL AT CAPITAN F CLASS REGIONAL ENTRY FORM (Personal info and fees submitted must be filled out completely) NRA Membership Number Date of Birth MM slash DD slash YYYY Name(Required) First Middle Name or Initial Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) PhoneLong Range Classification HM High Master M Master EX Expert SS Sharpshooter MK Marksman UNCL Unclassified Rifle Type FTR Rifle F Open Rifle 1,000 Yard Regional(Required)Fee Submitted Price: $80.00 Quantity Date MM slash DD slash YYYY Late Fee Price: $20.00 Quantity The Late Fee is Required after October 2nd, 2023Total Credit CardCard Details Cardholder Name Download and print a Hard Copy of the schedule and application click on the form below Club President Bill Rodolph (575) 840-7268 President Email billrodolph@capitanhipower.com Range Location US Hwy 380 is 3 miles east of Capitan, NM.