National ProAm        
  Sept. 29-Oct.2, 2005      
       
  Return Entry To:  Quail Ridge Sportsmans Club    
21166 Quail Ridge Lane   Sunman, IN  47041     Phone:   812-926-4999     Fax:   812-926-0534    
Name:_______________________________ NSCA #:___________________      
Address:____________________________ Class:_______  VT(  ) SVT (  ) L (  ) JR (  ) SJR (  )    
City:__________________ State:______ Zip:__________ SS#_____________    
Fax:__________________ Phone:______________________        
(  ) Enclosed is $________ Deposit Please charge my: (  ) Visa  (  ) Master Card (  ) AMEX (  )DV    
(  ) PAID in FULL $________   Card #____________________________________________    
    Exp. Date________Signature:______________________    
Main Event: 200 targets  Oct. 1-2     Total Forward From Column One   $    
Professional Division  $   189.00   Five Stand (New Event Each Day)        
          after Sept. 1st  $   209.00   Five Stand - Friday Sept. 30  $     42.50      
Amateur Division  $   139.00   HOA Purse 50/30/20%  $     25.00      
          after Sept. 1st  $   159.00   Class Purse 50/30/20%  $     20.00      
Sat.9am/Sun.1pm (   )     Lewis 50/30/20%  $     20.00      
Sat.1pm/Sun.9am (   )     Vet Purse  $     20.00      
      Five Stand - Saturday Oct. 1  $     42.50      
      HOA Purse 50/30/20%  $     25.00      
Main Event Options     Class Purse 50/30/20%  $     20.00      
Main HOA Purse 50/30/20%  $   100.00   Lewis 50/30/20%  $     20.00      
     Payout-$25 1st 100     Vet Purse  $     20.00      
     Payout-$25 2nd100     Five Stand - Sunday Oct. 2  $     42.50      
     Payout-$50 for total 200     HOA Purse 50/30/20%  $     25.00      
Class Purse 50/30/20%  $     50.00   Class Purse 50/30/20%  $     20.00      
     Payout-$25 1st 100     Lewis 50/30/20%  $     20.00      
     Payout-$25 2nd100              
     Payout-$50 for total 200     Small Gauge        
Lewis  $     20.00   12 Gauge  $     42.50      
Vet Purse  $     20.00   Class Purse  $     20.00      
      Lewis  $     20.00      
      20 Gauge  $     42.50      
Prelim Event: Sept. 30  $     79.00   Class Purse  $     20.00      
9am(   )   1pm(   )     Lewis  $     20.00      
Prelim Event Options     28 Gauge  $     42.50      
Prelim HOA Purse 50/30/20%  $   100.00   Class Purse  $     20.00      
Class Purse 50/30/20%  $     50.00   Lewis  $     20.00      
Lewis  $     20.00   410 Bore  $     42.50      
      Class Purse  $     20.00      
Total Column One     Lewis  $     20.00      
      Golf Carts:$50 per day (2 Day Min)        
        Total Amount Due      
      Less Main Event Deposit  $ (100.00)      
Preferred Squad: (List Names Below)   Less Golf Cart Deposit  $    (50.00)      
All Squadded Entries Must be Submitted Together!    Balance Due      
1.  Self   No Deposits Refunded After Sept. 1st, 2005    
2   Please Choose the Options you would like when you Pre-register.    
3   Confirmations will be mailed.     
4   Please reserve your hotel early.    
5   All NSCA rules apply.    
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