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 Year192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 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 $
