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Jefferson County Gun Club - 660 Gun Club Rd., Brooks, KY

Saturday - 4/9/11-- 10 am shoot  and 1 pm shoot

Registration starts at 9 am for 10 am shoot 

Registration starts at 12 pm for 1 pm shoot

Lunch 11 am - 1 pm

Cost

Gold Sponsorship   $500________                   
Silver Sponsorship       $250             ________
Cart Sponsorship   $100________
Team Fivesome   $250________
Individual Shooter   $ 50________
Golf Cart Rental - must be pre ordered! No extras will be available for rental that day   $ 35________
Additional donation for Juvenile Diabetes Research Foundation________
           total: _________

Complete and send in application with donation check / money order information to: Ford KTP Cares, P.O. Box 895, Pewee Valley, KY 40056

Name: _________________________________________

Phone: _________________________________________

Email: __________________________________________

Street Address: __________________________________

City / State / Zip: ________________________________

If applicable (name/e-mail/phone for team members):

Team Member 2: _________________________________

Team Member 3: _________________________________

Team Member 4: _________________________________

Team Member 5: _________________________________



                                           Questions (502) 364-3725


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