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

Name(Required)

First Middle Name or Initial Last

Address

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone

Long 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

Date

Late Fee

Price: $20.00

The Late Fee is Required after October 2nd, 2023

Total

Credit Card

Card Details

Cardholder Name

Download and print a Hard Copy of the schedule and application

click on the form below

(575) 840-7268

billrodolph@capitanhipower.com

US Hwy 380 is 3 miles east of Capitan, NM.