Membership registration

Match Director Information

Firstname:	LastName:
Address:	City:
State:	Zip:
Phone#	Email:

Club Information
Club Name:	Club email:
Club Address:	City:
State:	Zip:
Web Site:

After filling information forms above and downloading the liability
click a box below for club membership and targets then click submit
Double check all the info is correct and send email

Check Box for Target Qty

$50.00 Club membership w/ 100 targets & 6 plugs:

$75.00 Club membership w/ 200 targets & 6 plugs:

$100.00 Club membership w/ 300 targets & 6 plugs:

Submit will make a copy on your email processor then click send
if you do not have email processor, screen print and send to registration@national50.org via your method