THIRTY-FOURTH ANNUAL FIREARMS INDUSTRY

SUPER SHOOT MAY 24^th – 27^th, 2006

REGISTRATION FORM

Relay	___________	May 24 100YD	Name _____________________________________
Bench	___________	10.5 lb	Address ___________________________________
Comp.#	___________	May 25 100YD	City ______________________________________
H & W #	___________	13.5 lb	State ____________________ Zip ______________
Check #	___________	May 26 200YD	Country ___________________________________
Amount $	___________	13.5 lb	Check if LEFT HANDED ____
Date	___________	May 27 200YD	Check if FIRST SUPER SHOOT ____
Confirmation # _____________		10.5 lb	Check if Husband & Wife 13.5 lb ____ Spouse’s name _____________________________
For Office Use Only			Phone Number _____________________________

Email____________________________________

2 days $90.00USD ______ 4 days $200.00USD ______

Make check or money order payable to: F.I.S.S. and send to:

	F.I.S.S.
Rotation Request (see back of form)	7222 Dalton Fox Lake Road
1. __________________________________	North Lawrence, Ohio 44666
2. __________________________________	The above fees are valid and refundable until
3. __________________________________	May 10, 2006

After May 10, 2006, Registration fees are $110.00 per gun. NO EXCEPTIONS

SUPER SHOOT IS LIMITED TO FIRST 420 COMPETITORS

ALL DOGS WILL BE LEASHED AND CLEANED UP AFTER

List Equipment Components Not filling out this form can be cause for disqualification

10 ½ lb.	Same gun, both classes		13 ½ lb.
	(Circle if Applicable)
Caliber	____________________	Caliber	____________________
Action	____________________	Action	____________________
Scope	____________________	Scope	____________________
Scope Rings	____________________	Scope Rings	____________________
Barrel	____________________	Barrel	____________________
Gunsmith	____________________	Gunsmith	____________________
Stock	____________________	Stock	____________________
Stocker	____________________	Stocker	____________________
Case	____________________	Case	____________________
Powder	____________________	Powder	____________________
Bullet & Weight	____________________	Bullet & Weight	____________________
Primer	____________________	Primer	____________________

Do you wish to have your registration form sent via email in the future? Yes/No.

If yes provide your email address to JKelbly@aol.com.