Sacramento Safari Club Clay Day Entry Form
Please Mail to:
Birds Landing Sporting Clays
2099 Collinsville Rd  Birds Landing, CA 94512
or Fax to (707) 374-2814
Name:
 
Mailing Address:

City:      State:     Zip: 

E-Mail: 

Home Phone:               Daytime Phone: 

NSCA Member?    ( Yes   /  No  )

NSCA #:            NSCA Class: 

NSCA Concurrent 1:         NSCA Concurrent 2: 

Flight Request (Check One):   Pre-Flight       Main Flight  (AM)      Main Flight  (PM)
To guarantee squad, please mail forms in same envelope.
Pre-flight maximum squad size: 4 shooters            Main flights (AM & PM) maximum squad size: 6 shooters
Main Event ($99):    $
NSCA/CSCA target registration fee ($6):    $
Mulligans ($10):    $
Options ($40):    $
Poker Hands ($10 ea):    $
Social Event Only ($20):    $
Station Sponsor ($100):    $

Total:    $
Payment Method:
Cash:       Check: 
Visa / MC # 
     Exp:      


Signature:_________________________________3 Digit Security Code: 

       Fill out form, print, then mail or fax to Birds Landing Sporting Clays for processing.