Address City

State Zip Country

Email Secondary Telephone / Contact

Telephone Cell Phone

TEAM MEMBERS

Team Member 1 Team Member 2

Team Member 3 Team Member 4

Team Member 5 Team Member 6

Team Member 7 Team Member 8

Team Member 9

Support Personnel 1 Support Personnel 2

WEAPONS - PLEASE INCLUDE MAKE / MODEL / CALIBER

Pistols

Sub Guns

Patrol Rifles

Shotguns

Sniper Rifles

ADDITIONAL WEAPONS INFO

Will your team travel with their Duty Weapons? Check if Yes

Will your team need to borrow weapons or equipment? Check if yes

If yes, list Make, Model, Caliber

TEAM T-SHIRTS

Small Shirts 0 0 1 2 3 4 5 6 7 8 9 10 Medium Shirts 0 1 2 3 4 5 6 7 8 9 10 Large Shirts 0 1 2 3 4 5 6 7 8 9 10 XL Shirts 0 1 2 3 4 5 6 7 8 9 10 XXL Shirts 0 1 2 3 4 5 6 7 8 9 10

TEAM FEES - METHOD OF PAYMENT

Payment - please check one: Cash Check Department P.O. Credit Card
Number of Additional Banquet Tickets 0 1 2 3 4 5 6 7 8 9 10