FIELD and GAME FEDERATION of AUSTRALIA Inc.

Print and post to address below

Nomination Form for National 3 Day Carnival 2010

Name:_________________________________________________________________

Address: _______________________________________________________________

Post Code:___________

Club:______________________________________________Current Grade: _________

Date of Birth:________________________ Phone No.:____________________________

Firearms Licence Number: ___________________________________________________

Indicate which events you wish to enter by ticking the appropriate Category.

Event 1: 13th English Sporting National Championship 80 Targets

[ ] Open $90 [ ] Veterans$90 [ ] Super-Veterans$90 [ ] Ladies $90 [ ] Juniors $70 [ ] Sub-Juniors $70 [ ] Pensioners $70

Event 2: 34th Australian Sporting Clay National Championship 150 Target

[ ] Open $135 [ ] Veterans$135 [ ] Super-Veterans$135 [ ] Ladies $135 [ ] Juniors $95 [ ] Sub-Juniors $95 [ ] Pensioners $95

Competitors wishing to compete in both Event 1 and Event 2 indicate below

[ ] Open $225 [ ] Veterans $225 [ ] Super-Veterans $225 [ ] Ladies $225 [ ] Juniors $165 [ ] Sub-Juniors $165 [ ] Pensioners $165

Entry Form: The Outdoor Sportsman H/Gun Team event. 3 person Team. Maximum 1- AA per team

Entry $30 per Team [ ]

Team Members:

1. ________________________________________________________

2. ________________________________________________________

3. ________________________________________________________

Cheques to be made payable to: Field and Game Federation of Australia, 2 Rolfe Court, Leopold, Vic., 3224

Enquires to: Ray McFarlane Ph. 03-52502327 Fax 03-52502173

Notes:-

Veterans must have turned 55 years before 1-1-2010

Super-Veterans must have turned 65 years before 1-1-2010

Juniors must be under 21 and Sub-Juniors must be under 17 years old on the31st December 2010.

By entering this competition competitors agree to abide by Rules of the Federation.

GST is included in all Nomination Fees

If claiming Pensioner rate a photocopy of Pension Card is required Health Card only is not acceptable

Nationals survey:

[__] Do you agree to introduce a 200 target National Champion over three days

[__] Do you agree to leave current program as is ie; English Sporting followed by Australian Sporting Clays Nationals

Please include a business size envelope, self addressed with postage

when sending in entries