ISRAEL OPEN 2013

Registration Form

Add here your

Passport photo

Important
Israel Shooting Federation.
P.o.b 5101
Herzeliya 46150
ISRAEL

Last name: _________________ First name: ______________ Date of Birth: __________

Full address: _______________________________________________________________
Str.

City

ZIP Code

Country

///e-mail
Phone/Fax/e-mail: __________________________________________________________
Phone
Fax
Club
E-Mail

Competition details:

Major

Minor

Standard

Open

Modified

Production

Lady

Junior

Senior

Super Senior (+60)

Revolver

Travel details: Arrival date: ____________ Departure date: _____________________

ID/Passport No. : ______________________
Gun details: Number ________________caliber: ______ kind: ______________________
Number ________________ caliber: ______ kind: ______________________
Number ________________ caliber: ______ kind: _____________________

Date and signature of Competitor: ______________________________
/
Date, full name, and signature of Regional Director:

_______________________