Print and post to address below

Nomination Form for National 3 Day Carnival 2009

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: 12th English Sporting National Championship 80 Targets

[ ] Open $85 [ ] Veterans$85 [ ] Super-Veterans$85 [ ] Ladies $65 [ ] Juniors $65 [ ] Sub-Juniors $65 [ ] Pensioners $65

Event 2: 33rd Australian Sporting Clay National Championship 150 Target

[ ] Open $130 [ ] Veterans$130 [ ] Super-Veterans$130 [ ] Ladies $90 [ ] Juniors $90 [ ] Sub-Juniors $90 [ ] Pensioners $90

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

[ ] Open $215 [ ] Veterans $215 [ ] Super-Veterans $215 [ ] Ladies $155 [ ] Juniors $155 [ ] Sub-Juniors $155 [ ] Pensioners $155

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 1-1-2009

Super-Veterans must have turned 65 years before 1-1-2009

Juniors must be under 21 and Sub-Juniors must be under 17 years old on the31st December 2009.

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

Please include a business size envelope, self addressed with postage

when sending in entries