Winter 5-Stand League Sign-Up Form

Winter 5-Stand League Sign-Up Form

Michigan Shooting Centers
Participant Information
Name*

First NameLast Name
Phone Number

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Team Information
Do you have a teammate/partner?*

YesNo
If yes, what is their name?
First and Last Name of shooting partner
Any additional comments or information you would like to share?
Payment Information

League Registration Fee*

2021 Winter 5-Stand League$195.00

Membership Status
Item subtotal:$0.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: