NAME:...................................FIRST NAME..............................
ADDRESS.........................................................................
CITY............................................................................
STATE.............................................ZIP:..........................
EMAIL...................................TEL/CELL................................

ARE YOU  :RIGHT HANDED.........................LEFT HANDED......................

LIGHT VARMINT Registration Number of Rifle 

CALIBER.......................ACTION.........................
BARREL MAKER..................LENGTH.............TWIST.......
STOCK: GLASS    WOOD   ALLOY   OTHER
GUNSMITH......................................................
STOCKER......................................................
SCOPE..........................POWER.........................
TRIGGER........................RIFLE WEIGHT..................
CASES..........................PRIMERS.......................
BULLETS................. ... ..STYLE...........WEIGHT........
POWDER.........................WEIGHT........................

HEAVY VARMINT Registration Number of Rifle 

CALIBER.......................ACTION.........................
BARREL MAKER..................LENGTH.............TWIST.......
STOCK: GLASS    WOOD   ALLOY   OTHER
GUNSMITH......................................................
STOCKER......................................................
SCOPE..........................POWER.........................
TRIGGER........................RIFLE WEIGHT..................
CASES..........................PRIMERS.......................
BULLETS................. ... ..STYLE...........WEIGHT........
POWDER.........................WEIGHT........................

Do you place your own flags?  Yes  [_]              No  [_]  


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